{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2023-09-01","version":"1.0.0","provider_references":[{"provider_group_id":"811580393","provider_groups":[{"tin":{"type":"ein","value":"811580393"},"npi":["1891200978","1376926634"]}]},{"provider_group_id":"760749844","provider_groups":[{"tin":{"type":"ein","value":"760749844"},"npi":["1700378171"]}]},{"provider_group_id":"431664107","provider_groups":[{"tin":{"type":"ein","value":"431664107"},"npi":["1235245598","1194013425","1407295314","1104079607","1770119976","1316089261","1558633008","1477290799","1104246230","1942821707","1326086893","1174597629","1689223869","1700966207","1154327039","1538298294","1295985554","1629044946","1154360550","1376778258","1053676593","1578827101","1619938628","1548233455","1962882464","1366882227","1801459052","1073856027","1447237870","1841725918","1447696802","1366189946","1023034857","1508889577","1750341152","1053372847","1174943948","1881723062","1083172118","1114971983","1316464001","1922569995","1275051971","1295921302","1598238925","1689771875","1083724272","1336586650","1457842213","1336649276","1194383596","1295940906","1629384136","1558356469","1912327339"]}]},{"provider_group_id":"430917818","provider_groups":[{"tin":{"type":"ein","value":"430917818"},"npi":["1225293392","1689659039","1699988816","1326201864","1386888469","1659759553","1073838322","1336121987","1821051947","1407118318","1154556520","1679573927","1538456363","1548299977"]}]},{"provider_group_id":"431039532","provider_groups":[{"tin":{"type":"ein","value":"431039532"},"npi":["1609812445"]}]},{"provider_group_id":"430782104","provider_groups":[{"tin":{"type":"ein","value":"430782104"},"npi":["1699757997"]}]},{"provider_group_id":"436005594","provider_groups":[{"tin":{"type":"ein","value":"436005594"},"npi":["1548242993"]}]},{"provider_group_id":"430959561","provider_groups":[{"tin":{"type":"ein","value":"430959561"},"npi":["1396741666","1376786194","1639810104","1346245354","1447902366","1235793324","1740285683","1366448722","1942205281","1487023529","1649367467","1851735013","1376674176"]}]},{"provider_group_id":"450959268","provider_groups":[{"tin":{"type":"ein","value":"450959268"},"npi":["1427057330","1811619398"]}]},{"provider_group_id":"431727554","provider_groups":[{"tin":{"type":"ein","value":"431727554"},"npi":["1578554341","1063518389"]}]},{"provider_group_id":"431648309","provider_groups":[{"tin":{"type":"ein","value":"431648309"},"npi":["1093384620","1386810661"]}]},{"provider_group_id":"431049928","provider_groups":[{"tin":{"type":"ein","value":"431049928"},"npi":["1033198221","1518612878"]}]},{"provider_group_id":"811355215","provider_groups":[{"tin":{"type":"ein","value":"811355215"},"npi":["1275603979"]}]},{"provider_group_id":"431564313","provider_groups":[{"tin":{"type":"ein","value":"431564313"},"npi":["1275725129"]}]},{"provider_group_id":"464170334","provider_groups":[{"tin":{"type":"ein","value":"464170334"},"npi":["1659329613"]}]},{"provider_group_id":"431170100","provider_groups":[{"tin":{"type":"ein","value":"431170100"},"npi":["1104083617"]}]},{"provider_group_id":"430948536","provider_groups":[{"tin":{"type":"ein","value":"430948536"},"npi":["1013167600","1235175779","1720075823","1962750265","1306827829","1144217233","1174933022"]}]},{"provider_group_id":"203251115","provider_groups":[{"tin":{"type":"ein","value":"203251115"},"npi":["1427445071","1205272606","1033376595"]}]},{"provider_group_id":"431383893","provider_groups":[{"tin":{"type":"ein","value":"431383893"},"npi":["1174514384","1588625693","1770577736","1437140639","1124235239","1871702209","1376632018","1841281870","1871584474","1083631519","1477544724"]}]},{"provider_group_id":"621802294","provider_groups":[{"tin":{"type":"ein","value":"621802294"},"npi":["1548370745"]}]},{"provider_group_id":"471814607","provider_groups":[{"tin":{"type":"ein","value":"471814607"},"npi":["1558745422"]}]},{"provider_group_id":"133757370","provider_groups":[{"tin":{"type":"ein","value":"133757370"},"npi":["1932184322","1063497451","1538144910","1891770806"]}]},{"provider_group_id":"260230686","provider_groups":[{"tin":{"type":"ein","value":"260230686"},"npi":["1154355261"]}]},{"provider_group_id":"222405059","provider_groups":[{"tin":{"type":"ein","value":"222405059"},"npi":["1134277494"]}]},{"provider_group_id":"840611484","provider_groups":[{"tin":{"type":"ein","value":"840611484"},"npi":["1265418669","1235114778","1659352276"]}]},{"provider_group_id":"261393906","provider_groups":[{"tin":{"type":"ein","value":"261393906"},"npi":["1104430776","1144250887","1336233584","1427582469","1437787272","1548917883","1639424716","1659535896","1982188389","1114549193","1184989246","1770048308","1659988533","1689984593","1194048686","1326027640","1528008786","1679591101","1740872514","1790224970","1861752685","1144848805","1942756200","1982648853","1003425414","1245287085","1245878255","1962713073","1225286701","1346894144","1376285510","1649707829","1679954374"]}]},{"provider_group_id":"382084239","provider_groups":[{"tin":{"type":"ein","value":"382084239"},"npi":["1932166386"]}]},{"provider_group_id":"463092721","provider_groups":[{"tin":{"type":"ein","value":"463092721"},"npi":["1851729321"]}]},{"provider_group_id":"752613493","provider_groups":[{"tin":{"type":"ein","value":"752613493"},"npi":["1912446733","1174556286"]}]},{"provider_group_id":"430653611","provider_groups":[{"tin":{"type":"ein","value":"430653611"},"npi":["1548286867","1154685303","1679556401","1720572779","1043312705","1740695188","1114195518","1174537039","1861691388","1093026064","1780778027","1780002543","1497950398","1578068623","1841639044","1053761221","1962883256","1922052919","1003258583","1285884593","1790947224","1316965320","1649558289","1770657900","1518073014","1356374391","1427142751","1184667529","1679516033","1700804267","1043535438","1811128291","1689872368","1669466512","1033406228","1245432244","1255728978","1417907742","1437565819","1073531521","1972609907","1538372800","1013933068","1306289509","1699728667","1093829970","1225234933","1245324573","1831139286","1164552774"]}]},{"provider_group_id":"431270601","provider_groups":[{"tin":{"type":"ein","value":"431270601"},"npi":["1235107012"]}]},{"provider_group_id":"431716554","provider_groups":[{"tin":{"type":"ein","value":"431716554"},"npi":["1083760599"]}]},{"provider_group_id":"431681957","provider_groups":[{"tin":{"type":"ein","value":"431681957"},"npi":["1427027515","1417999467","1124164066","1609875699","1285745257","1700997731","1821062266","1073654091","1457582082","1376644484","1053632935","1023129954","1568812535","1902198781","1861873077","1477518595","1649281668","1053517656"]}]},{"provider_group_id":"320554062","provider_groups":[{"tin":{"type":"ein","value":"320554062"},"npi":["1417928078","1578534236","1982675641","1336302660"]}]},{"provider_group_id":"342028972","provider_groups":[{"tin":{"type":"ein","value":"342028972"},"npi":["1356780449"]}]},{"provider_group_id":"562403146","provider_groups":[{"tin":{"type":"ein","value":"562403146"},"npi":["1215558051"]}]},{"provider_group_id":"853862970","provider_groups":[{"tin":{"type":"ein","value":"853862970"},"npi":["1114474855","1366997306"]}]},{"provider_group_id":"825149031","provider_groups":[{"tin":{"type":"ein","value":"825149031"},"npi":["1538274428"]}]},{"provider_group_id":"880988603","provider_groups":[{"tin":{"type":"ein","value":"880988603"},"npi":["1801899141","1821309279","1023438835","1083645436","1306589544","1578628418","1386389815","1629186556","1073958021","1083082515","1053617407","1679536114","1730479676"]}]},{"provider_group_id":"264777940","provider_groups":[{"tin":{"type":"ein","value":"264777940"},"npi":["1639370919","1609916824"]}]},{"provider_group_id":"237246265","provider_groups":[{"tin":{"type":"ein","value":"237246265"},"npi":["1992792329"]}]},{"provider_group_id":"204768243","provider_groups":[{"tin":{"type":"ein","value":"204768243"},"npi":["1609076330"]}]},{"provider_group_id":"205096637","provider_groups":[{"tin":{"type":"ein","value":"205096637"},"npi":["1629005558"]}]},{"provider_group_id":"824796793","provider_groups":[{"tin":{"type":"ein","value":"824796793"},"npi":["1164049698","1255043964"]}]},{"provider_group_id":"320453423","provider_groups":[{"tin":{"type":"ein","value":"320453423"},"npi":["1003959248","1548236755"]}]},{"provider_group_id":"361924025","provider_groups":[{"tin":{"type":"ein","value":"361924025"},"npi":["1013922251"]}]},{"provider_group_id":"450454268","provider_groups":[{"tin":{"type":"ein","value":"450454268"},"npi":["1588004410"]}]},{"provider_group_id":"873275064","provider_groups":[{"tin":{"type":"ein","value":"873275064"},"npi":["1356009245"]}]},{"provider_group_id":"880241758","provider_groups":[{"tin":{"type":"ein","value":"880241758"},"npi":["1124417357"]}]},{"provider_group_id":"430960791","provider_groups":[{"tin":{"type":"ein","value":"430960791"},"npi":["1114911062"]}]},{"provider_group_id":"873109110","provider_groups":[{"tin":{"type":"ein","value":"873109110"},"npi":["1760504013"]}]},{"provider_group_id":"261599624","provider_groups":[{"tin":{"type":"ein","value":"261599624"},"npi":["1689849234"]}]},{"provider_group_id":"431032835","provider_groups":[{"tin":{"type":"ein","value":"431032835"},"npi":["1326657362","1821705799","1568910222"]}]},{"provider_group_id":"030434708","provider_groups":[{"tin":{"type":"ein","value":"030434708"},"npi":["1306950985"]}]},{"provider_group_id":"813311881","provider_groups":[{"tin":{"type":"ein","value":"813311881"},"npi":["1558418301"]}]},{"provider_group_id":"680586012","provider_groups":[{"tin":{"type":"ein","value":"680586012"},"npi":["1356324917"]}]},{"provider_group_id":"341741475","provider_groups":[{"tin":{"type":"ein","value":"341741475"},"npi":["1104483379","1548527997","1356757116"]}]},{"provider_group_id":"823111892","provider_groups":[{"tin":{"type":"ein","value":"823111892"},"npi":["1215682646"]}]},{"provider_group_id":"431644593","provider_groups":[{"tin":{"type":"ein","value":"431644593"},"npi":["1477684009","1609130061"]}]},{"provider_group_id":"814478248","provider_groups":[{"tin":{"type":"ein","value":"814478248"},"npi":["1750794319"]}]},{"provider_group_id":"452926627","provider_groups":[{"tin":{"type":"ein","value":"452926627"},"npi":["1831472521"]}]},{"provider_group_id":"272948738","provider_groups":[{"tin":{"type":"ein","value":"272948738"},"npi":["1093721300"]}]},{"provider_group_id":"461459887","provider_groups":[{"tin":{"type":"ein","value":"461459887"},"npi":["1306130950"]}]},{"provider_group_id":"134623840","provider_groups":[{"tin":{"type":"ein","value":"134623840"},"npi":["1023183159"]}]},{"provider_group_id":"822315248","provider_groups":[{"tin":{"type":"ein","value":"822315248"},"npi":["1124484563"]}]},{"provider_group_id":"853124061","provider_groups":[{"tin":{"type":"ein","value":"853124061"},"npi":["1538269477"]}]},{"provider_group_id":"205051452","provider_groups":[{"tin":{"type":"ein","value":"205051452"},"npi":["1851383301","1255853081","1447297601","1386220259","1871590679","1366591646"]}]},{"provider_group_id":"431637707","provider_groups":[{"tin":{"type":"ein","value":"431637707"},"npi":["1992728000","1396769055","1124225347"]}]},{"provider_group_id":"431682963","provider_groups":[{"tin":{"type":"ein","value":"431682963"},"npi":["1669852448"]}]},{"provider_group_id":"263956318","provider_groups":[{"tin":{"type":"ein","value":"263956318"},"npi":["1194107573","1891781951"]}]},{"provider_group_id":"271369141","provider_groups":[{"tin":{"type":"ein","value":"271369141"},"npi":["1003348293","1033671342","1508033606","1053761288","1053802538","1184832701","1437681418","1639375140","1669646808","1033691191","1730631029","1982149878"]}]},{"provider_group_id":"330604557","provider_groups":[{"tin":{"type":"ein","value":"330604557"},"npi":["1790869402"]}]},{"provider_group_id":"412175615","provider_groups":[{"tin":{"type":"ein","value":"412175615"},"npi":["1598938540"]}]},{"provider_group_id":"272481555","provider_groups":[{"tin":{"type":"ein","value":"272481555"},"npi":["1841557188","1285759985","1043528540","1093928483","1043443377"]}]},{"provider_group_id":"431242298","provider_groups":[{"tin":{"type":"ein","value":"431242298"},"npi":["1700870250"]}]},{"provider_group_id":"275493321","provider_groups":[{"tin":{"type":"ein","value":"275493321"},"npi":["1386313740"]}]},{"provider_group_id":"272127648","provider_groups":[{"tin":{"type":"ein","value":"272127648"},"npi":["1063616506","1740312842"]}]},{"provider_group_id":"900634405","provider_groups":[{"tin":{"type":"ein","value":"900634405"},"npi":["1699074716"]}]},{"provider_group_id":"453756665","provider_groups":[{"tin":{"type":"ein","value":"453756665"},"npi":["1417950155"]}]},{"provider_group_id":"202536458","provider_groups":[{"tin":{"type":"ein","value":"202536458"},"npi":["1477222834"]}]},{"provider_group_id":"810584868","provider_groups":[{"tin":{"type":"ein","value":"810584868"},"npi":["1740787043"]}]},{"provider_group_id":"412007905","provider_groups":[{"tin":{"type":"ein","value":"412007905"},"npi":["1225053036"]}]},{"provider_group_id":"320040235","provider_groups":[{"tin":{"type":"ein","value":"320040235"},"npi":["1013908714","1639497829"]}]},{"provider_group_id":"364925905","provider_groups":[{"tin":{"type":"ein","value":"364925905"},"npi":["1295782480","1821058397"]}]},{"provider_group_id":"431109990","provider_groups":[{"tin":{"type":"ein","value":"431109990"},"npi":["1255457271","1457383796","1801967138","1568425585"]}]},{"provider_group_id":"370919221","provider_groups":[{"tin":{"type":"ein","value":"370919221"},"npi":["1528279031"]}]},{"provider_group_id":"208617259","provider_groups":[{"tin":{"type":"ein","value":"208617259"},"npi":["1992742621"]}]},{"provider_group_id":"431833381","provider_groups":[{"tin":{"type":"ein","value":"431833381"},"npi":["1417978990","1376582502","1104269307","1801184403","1841210499","1538470612"]}]},{"provider_group_id":"431452426","provider_groups":[{"tin":{"type":"ein","value":"431452426"},"npi":["1144238908"]}]},{"provider_group_id":"430653493","provider_groups":[{"tin":{"type":"ein","value":"430653493"},"npi":["1427098169","1598874448","1669853230","1205947041","1396847000","1568438687","1871908798"]}]},{"provider_group_id":"626002166","provider_groups":[{"tin":{"type":"ein","value":"626002166"},"npi":["1275531956"]}]},{"provider_group_id":"592447554","provider_groups":[{"tin":{"type":"ein","value":"592447554"},"npi":["1417952748"]}]},{"provider_group_id":"710236856","provider_groups":[{"tin":{"type":"ein","value":"710236856"},"npi":["1497790042"]}]},{"provider_group_id":"436057893","provider_groups":[{"tin":{"type":"ein","value":"436057893"},"npi":["1639186760"]}]},{"provider_group_id":"431343281","provider_groups":[{"tin":{"type":"ein","value":"431343281"},"npi":["1851496152","1598835308","1962572396","1871665380","1467521146","1992859433","1609295815"]}]},{"provider_group_id":"431527130","provider_groups":[{"tin":{"type":"ein","value":"431527130"},"npi":["1831107895"]}]},{"provider_group_id":"474196634","provider_groups":[{"tin":{"type":"ein","value":"474196634"},"npi":["1942685920"]}]},{"provider_group_id":"364460628","provider_groups":[{"tin":{"type":"ein","value":"364460628"},"npi":["1083685986"]}]},{"provider_group_id":"431332368","provider_groups":[{"tin":{"type":"ein","value":"431332368"},"npi":["1922016112","1053632935"]}]},{"provider_group_id":"430652680","provider_groups":[{"tin":{"type":"ein","value":"430652680"},"npi":["1346251543"]}]},{"provider_group_id":"370661172","provider_groups":[{"tin":{"type":"ein","value":"370661172"},"npi":["1548278476"]}]},{"provider_group_id":"237309937","provider_groups":[{"tin":{"type":"ein","value":"237309937"},"npi":["1649299827"]}]},{"provider_group_id":"371359605","provider_groups":[{"tin":{"type":"ein","value":"371359605"},"npi":["1073584058"]}]},{"provider_group_id":"370662561","provider_groups":[{"tin":{"type":"ein","value":"370662561"},"npi":["1053481630"]}]},{"provider_group_id":"812782453","provider_groups":[{"tin":{"type":"ein","value":"812782453"},"npi":["1134673148"]}]},{"provider_group_id":"883850676","provider_groups":[{"tin":{"type":"ein","value":"883850676"},"npi":["1326765884"]}]},{"provider_group_id":"412140764","provider_groups":[{"tin":{"type":"ein","value":"412140764"},"npi":["1508938044"]}]},{"provider_group_id":"430652656","provider_groups":[{"tin":{"type":"ein","value":"430652656"},"npi":["1487663506","1467461434"]}]},{"provider_group_id":"430654870","provider_groups":[{"tin":{"type":"ein","value":"430654870"},"npi":["1992727663"]}]},{"provider_group_id":"362513909","provider_groups":[{"tin":{"type":"ein","value":"362513909"},"npi":["1003864810"]}]},{"provider_group_id":"201244058","provider_groups":[{"tin":{"type":"ein","value":"201244058"},"npi":["1194713404","1134610777"]}]},{"provider_group_id":"350593390","provider_groups":[{"tin":{"type":"ein","value":"350593390"},"npi":["1053361642"]}]},{"provider_group_id":"370661244","provider_groups":[{"tin":{"type":"ein","value":"370661244"},"npi":["1326041229"]}]},{"provider_group_id":"430980256","provider_groups":[{"tin":{"type":"ein","value":"430980256"},"npi":["1568481984"]}]},{"provider_group_id":"472219204","provider_groups":[{"tin":{"type":"ein","value":"472219204"},"npi":["1962808733"]}]},{"provider_group_id":"752051646","provider_groups":[{"tin":{"type":"ein","value":"752051646"},"npi":["1891765178"]}]},{"provider_group_id":"205953387","provider_groups":[{"tin":{"type":"ein","value":"205953387"},"npi":["1982053054"]}]},{"provider_group_id":"261439695","provider_groups":[{"tin":{"type":"ein","value":"261439695"},"npi":["1033351119"]}]},{"provider_group_id":"205579933","provider_groups":[{"tin":{"type":"ein","value":"205579933"},"npi":["1780764829"]}]},{"provider_group_id":"263694972","provider_groups":[{"tin":{"type":"ein","value":"263694972"},"npi":["1659511988"]}]},{"provider_group_id":"370661218","provider_groups":[{"tin":{"type":"ein","value":"370661218"},"npi":["1821099441","1790774826"]}]},{"provider_group_id":"431771217","provider_groups":[{"tin":{"type":"ein","value":"431771217"},"npi":["1932639689","1184685455","1104987544","1902191141","1689640609","1821295767","1316911829","1861640823","1710930219","1679067276","1962865170","1174183230","1922200617","1871157008","1093787558","1811410541","1093927089","1275730111","1366649253","1235210659","1427025295","1528266400","1821226408","1831166032","1043667371","1588862544","1851344451","1174053920","1104389824","1700370996","1811549710","1295889244","1104861756","1194174177","1760419485","1285164053","1811941248","1467427161"]}]},{"provider_group_id":"460847235","provider_groups":[{"tin":{"type":"ein","value":"460847235"},"npi":["1104118249","1356332761"]}]},{"provider_group_id":"431854902","provider_groups":[{"tin":{"type":"ein","value":"431854902"},"npi":["1740323617","1750941571","1124091145","1821438995"]}]},{"provider_group_id":"680602330","provider_groups":[{"tin":{"type":"ein","value":"680602330"},"npi":["1225798473"]}]},{"provider_group_id":"430835090","provider_groups":[{"tin":{"type":"ein","value":"430835090"},"npi":["1932166162","1558328633"]}]},{"provider_group_id":"461459234","provider_groups":[{"tin":{"type":"ein","value":"461459234"},"npi":["1144250028"]}]},{"provider_group_id":"454618242","provider_groups":[{"tin":{"type":"ein","value":"454618242"},"npi":["1013273044","1396056164","1861888992","1609912054"]}]},{"provider_group_id":"943342387","provider_groups":[{"tin":{"type":"ein","value":"943342387"},"npi":["1871943530","1679738678"]}]},{"provider_group_id":"489929643","provider_groups":[{"tin":{"type":"ein","value":"489929643"},"npi":["1477552206"]}]},{"provider_group_id":"881730151","provider_groups":[{"tin":{"type":"ein","value":"881730151"},"npi":["1194271163"]}]},{"provider_group_id":"710781138","provider_groups":[{"tin":{"type":"ein","value":"710781138"},"npi":["1982920799"]}]},{"provider_group_id":"920821222","provider_groups":[{"tin":{"type":"ein","value":"920821222"},"npi":["1629064225"]}]},{"provider_group_id":"621453389","provider_groups":[{"tin":{"type":"ein","value":"621453389"},"npi":["1437105277","1487712808","1508812199","1811914450","1376716985"]}]},{"provider_group_id":"464529066","provider_groups":[{"tin":{"type":"ein","value":"464529066"},"npi":["1053413542","1538575063","1558771329"]}]},{"provider_group_id":"813460247","provider_groups":[{"tin":{"type":"ein","value":"813460247"},"npi":["1821092214"]}]},{"provider_group_id":"813468641","provider_groups":[{"tin":{"type":"ein","value":"813468641"},"npi":["1386668218"]}]},{"provider_group_id":"464682498","provider_groups":[{"tin":{"type":"ein","value":"464682498"},"npi":["1114423233"]}]},{"provider_group_id":"760729179","provider_groups":[{"tin":{"type":"ein","value":"760729179"},"npi":["1477692630"]}]},{"provider_group_id":"431708560","provider_groups":[{"tin":{"type":"ein","value":"431708560"},"npi":["1235187899"]}]},{"provider_group_id":"391534049","provider_groups":[{"tin":{"type":"ein","value":"391534049"},"npi":["1053770701"]}]},{"provider_group_id":"461430648","provider_groups":[{"tin":{"type":"ein","value":"461430648"},"npi":["1083824684","1609384205"]}]},{"provider_group_id":"436003242","provider_groups":[{"tin":{"type":"ein","value":"436003242"},"npi":["1780639088"]}]},{"provider_group_id":"431695193","provider_groups":[{"tin":{"type":"ein","value":"431695193"},"npi":["1801328661","1073623641","1215046263"]}]},{"provider_group_id":"431926841","provider_groups":[{"tin":{"type":"ein","value":"431926841"},"npi":["1255435657","1265873475"]}]},{"provider_group_id":"430995408","provider_groups":[{"tin":{"type":"ein","value":"430995408"},"npi":["1184638660","1235472440","1881854255","1386177426","1023256997"]}]},{"provider_group_id":"431580575","provider_groups":[{"tin":{"type":"ein","value":"431580575"},"npi":["1396175196"]}]},{"provider_group_id":"430917230","provider_groups":[{"tin":{"type":"ein","value":"430917230"},"npi":["1972596088","1659369965"]}]},{"provider_group_id":"752956384","provider_groups":[{"tin":{"type":"ein","value":"752956384"},"npi":["1154345841"]}]},{"provider_group_id":"621729321","provider_groups":[{"tin":{"type":"ein","value":"621729321"},"npi":["1598836678"]}]},{"provider_group_id":"208622095","provider_groups":[{"tin":{"type":"ein","value":"208622095"},"npi":["1235455866","1548286776","1962477364"]}]},{"provider_group_id":"431799320","provider_groups":[{"tin":{"type":"ein","value":"431799320"},"npi":["1013113471"]}]},{"provider_group_id":"431869449","provider_groups":[{"tin":{"type":"ein","value":"431869449"},"npi":["1902922479"]}]},{"provider_group_id":"351687475","provider_groups":[{"tin":{"type":"ein","value":"351687475"},"npi":["1720235260"]}]},{"provider_group_id":"431028381","provider_groups":[{"tin":{"type":"ein","value":"431028381"},"npi":["1528086923"]}]},{"provider_group_id":"271961913","provider_groups":[{"tin":{"type":"ein","value":"271961913"},"npi":["1407170517"]}]},{"provider_group_id":"431216115","provider_groups":[{"tin":{"type":"ein","value":"431216115"},"npi":["1508061540","1225182157","1225491004","1811075757","1811181308","1497857965","1851427066"]}]},{"provider_group_id":"830901793","provider_groups":[{"tin":{"type":"ein","value":"830901793"},"npi":["1336257245"]}]},{"provider_group_id":"475528571","provider_groups":[{"tin":{"type":"ein","value":"475528571"},"npi":["1154430817","1316388150"]}]},{"provider_group_id":"431926819","provider_groups":[{"tin":{"type":"ein","value":"431926819"},"npi":["1538169701"]}]},{"provider_group_id":"264648943","provider_groups":[{"tin":{"type":"ein","value":"264648943"},"npi":["1639130263"]}]},{"provider_group_id":"431778456","provider_groups":[{"tin":{"type":"ein","value":"431778456"},"npi":["1699866558"]}]},{"provider_group_id":"431861224","provider_groups":[{"tin":{"type":"ein","value":"431861224"},"npi":["1225472178"]}]},{"provider_group_id":"363771769","provider_groups":[{"tin":{"type":"ein","value":"363771769"},"npi":["1922202647","1538885462","1609395789"]}]},{"provider_group_id":"431775902","provider_groups":[{"tin":{"type":"ein","value":"431775902"},"npi":["1750728366"]}]},{"provider_group_id":"471754735","provider_groups":[{"tin":{"type":"ein","value":"471754735"},"npi":["1013313493"]}]},{"provider_group_id":"431068291","provider_groups":[{"tin":{"type":"ein","value":"431068291"},"npi":["1407880099"]}]},{"provider_group_id":"431759074","provider_groups":[{"tin":{"type":"ein","value":"431759074"},"npi":["1437142635"]}]},{"provider_group_id":"431942386","provider_groups":[{"tin":{"type":"ein","value":"431942386"},"npi":["1356445530"]}]},{"provider_group_id":"825050228","provider_groups":[{"tin":{"type":"ein","value":"825050228"},"npi":["1972500981"]}]},{"provider_group_id":"901075970","provider_groups":[{"tin":{"type":"ein","value":"901075970"},"npi":["1205820362"]}]},{"provider_group_id":"200802394","provider_groups":[{"tin":{"type":"ein","value":"200802394"},"npi":["1770977100"]}]},{"provider_group_id":"264186970","provider_groups":[{"tin":{"type":"ein","value":"264186970"},"npi":["1104858265"]}]},{"provider_group_id":"020571279","provider_groups":[{"tin":{"type":"ein","value":"020571279"},"npi":["1972757581"]}]},{"provider_group_id":"201980363","provider_groups":[{"tin":{"type":"ein","value":"201980363"},"npi":["1285675793"]}]},{"provider_group_id":"273511978","provider_groups":[{"tin":{"type":"ein","value":"273511978"},"npi":["1689624116"]}]},{"provider_group_id":"320446158","provider_groups":[{"tin":{"type":"ein","value":"320446158"},"npi":["1306846928"]}]},{"provider_group_id":"431842211","provider_groups":[{"tin":{"type":"ein","value":"431842211"},"npi":["1003019019"]}]},{"provider_group_id":"431903482","provider_groups":[{"tin":{"type":"ein","value":"431903482"},"npi":["1518161355"]}]},{"provider_group_id":"842830756","provider_groups":[{"tin":{"type":"ein","value":"842830756"},"npi":["1356503544"]}]},{"provider_group_id":"841684660","provider_groups":[{"tin":{"type":"ein","value":"841684660"},"npi":["1912188426"]}]},{"provider_group_id":"391351587","provider_groups":[{"tin":{"type":"ein","value":"391351587"},"npi":["1821051079","1871550921"]}]},{"provider_group_id":"454482673","provider_groups":[{"tin":{"type":"ein","value":"454482673"},"npi":["1164484994"]}]},{"provider_group_id":"465532932","provider_groups":[{"tin":{"type":"ein","value":"465532932"},"npi":["1356305932"]}]},{"provider_group_id":"201626627","provider_groups":[{"tin":{"type":"ein","value":"201626627"},"npi":["1528412491","1306802343"]}]},{"provider_group_id":"272127523","provider_groups":[{"tin":{"type":"ein","value":"272127523"},"npi":["1639389869","1831464130","1447405899","1164577300","1023088564"]}]},{"provider_group_id":"260376625","provider_groups":[{"tin":{"type":"ein","value":"260376625"},"npi":["1295703072"]}]},{"provider_group_id":"621307839","provider_groups":[{"tin":{"type":"ein","value":"621307839"},"npi":["1033257092"]}]},{"provider_group_id":"371367215","provider_groups":[{"tin":{"type":"ein","value":"371367215"},"npi":["1194769166"]}]},{"provider_group_id":"751370140","provider_groups":[{"tin":{"type":"ein","value":"751370140"},"npi":["1972548519"]}]},{"provider_group_id":"752564133","provider_groups":[{"tin":{"type":"ein","value":"752564133"},"npi":["1104872449"]}]},{"provider_group_id":"431568573","provider_groups":[{"tin":{"type":"ein","value":"431568573"},"npi":["1851362479"]}]},{"provider_group_id":"364447622","provider_groups":[{"tin":{"type":"ein","value":"364447622"},"npi":["1942795844"]}]},{"provider_group_id":"300450662","provider_groups":[{"tin":{"type":"ein","value":"300450662"},"npi":["1750323028"]}]},{"provider_group_id":"371099270","provider_groups":[{"tin":{"type":"ein","value":"371099270"},"npi":["1245344605"]}]},{"provider_group_id":"430954459","provider_groups":[{"tin":{"type":"ein","value":"430954459"},"npi":["1962400291"]}]},{"provider_group_id":"431183760","provider_groups":[{"tin":{"type":"ein","value":"431183760"},"npi":["1316928369"]}]},{"provider_group_id":"431854742","provider_groups":[{"tin":{"type":"ein","value":"431854742"},"npi":["1912908161"]}]},{"provider_group_id":"901016088","provider_groups":[{"tin":{"type":"ein","value":"901016088"},"npi":["1235584822"]}]},{"provider_group_id":"431748822","provider_groups":[{"tin":{"type":"ein","value":"431748822"},"npi":["1750305546"]}]},{"provider_group_id":"861141726","provider_groups":[{"tin":{"type":"ein","value":"861141726"},"npi":["1548216179"]}]},{"provider_group_id":"430738490","provider_groups":[{"tin":{"type":"ein","value":"430738490"},"npi":["1386627404","1700831856"]}]},{"provider_group_id":"113794837","provider_groups":[{"tin":{"type":"ein","value":"113794837"},"npi":["1285051482"]}]},{"provider_group_id":"364061985","provider_groups":[{"tin":{"type":"ein","value":"364061985"},"npi":["1790774826"]}]},{"provider_group_id":"431201813","provider_groups":[{"tin":{"type":"ein","value":"431201813"},"npi":["1285673715","1821037334"]}]},{"provider_group_id":"431883771","provider_groups":[{"tin":{"type":"ein","value":"431883771"},"npi":["1346303641"]}]},{"provider_group_id":"620874165","provider_groups":[{"tin":{"type":"ein","value":"620874165"},"npi":["1295762789"]}]},{"provider_group_id":"364147189","provider_groups":[{"tin":{"type":"ein","value":"364147189"},"npi":["1295837441"]}]},{"provider_group_id":"455450768","provider_groups":[{"tin":{"type":"ein","value":"455450768"},"npi":["1477538627"]}]},{"provider_group_id":"320084051","provider_groups":[{"tin":{"type":"ein","value":"320084051"},"npi":["1619233525"]}]},{"provider_group_id":"584348905","provider_groups":[{"tin":{"type":"ein","value":"584348905"},"npi":["1568674927"]}]},{"provider_group_id":"431507746","provider_groups":[{"tin":{"type":"ein","value":"431507746"},"npi":["1952396251"]}]},{"provider_group_id":"454213957","provider_groups":[{"tin":{"type":"ein","value":"454213957"},"npi":["1497729826"]}]},{"provider_group_id":"205521741","provider_groups":[{"tin":{"type":"ein","value":"205521741"},"npi":["1184248627"]}]},{"provider_group_id":"436003859","provider_groups":[{"tin":{"type":"ein","value":"436003859"},"npi":["1699769901"]}]},{"provider_group_id":"421573141","provider_groups":[{"tin":{"type":"ein","value":"421573141"},"npi":["1659364206"]}]},{"provider_group_id":"475308541","provider_groups":[{"tin":{"type":"ein","value":"475308541"},"npi":["1114386562"]}]},{"provider_group_id":"620811256","provider_groups":[{"tin":{"type":"ein","value":"620811256"},"npi":["1386178705"]}]},{"provider_group_id":"823409529","provider_groups":[{"tin":{"type":"ein","value":"823409529"},"npi":["1235428582"]}]},{"provider_group_id":"383979455","provider_groups":[{"tin":{"type":"ein","value":"383979455"},"npi":["1578725107"]}]},{"provider_group_id":"621042760","provider_groups":[{"tin":{"type":"ein","value":"621042760"},"npi":["1386729085"]}]},{"provider_group_id":"430958560","provider_groups":[{"tin":{"type":"ein","value":"430958560"},"npi":["1558447342"]}]},{"provider_group_id":"562491820","provider_groups":[{"tin":{"type":"ein","value":"562491820"},"npi":["1053428771"]}]},{"provider_group_id":"430954380","provider_groups":[{"tin":{"type":"ein","value":"430954380"},"npi":["1154501393"]}]},{"provider_group_id":"843739977","provider_groups":[{"tin":{"type":"ein","value":"843739977"},"npi":["1750322319"]}]},{"provider_group_id":"822496814","provider_groups":[{"tin":{"type":"ein","value":"822496814"},"npi":["1316150907","1629202270","1417112764","1750656955","1952561938"]}]},{"provider_group_id":"473109067","provider_groups":[{"tin":{"type":"ein","value":"473109067"},"npi":["1841687951"]}]},{"provider_group_id":"854326059","provider_groups":[{"tin":{"type":"ein","value":"854326059"},"npi":["1710117577"]}]},{"provider_group_id":"464956595","provider_groups":[{"tin":{"type":"ein","value":"464956595"},"npi":["1679980858"]}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"ABA THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97153","description":"adaptive behavior tx by tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811580393"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760749844"]}]},{"negotiation_arrangement":"ffs","name":"ABA THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97155","description":"adapt behavior tx phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811580393"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760749844"]}]},{"negotiation_arrangement":"ffs","name":"ABA THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97156","description":"fam adapt bhv tx gdn phy/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760749844"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811580393"]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINAL AORTIC ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76706","description":"us abdl aorta screen aaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINAL AORTIC ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76770","description":"us exam abdo back wall comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"ALLERGY TESTING","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86003","description":"allg spec ige crude xtrc ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A0425","description":"ground mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430782104"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["436005594"]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A0427","description":"als1-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":850.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430782104"]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A0429","description":"bls-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":785.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["436005594"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00170","description":"anesth procedure on mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":688.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00400","description":"anesth skin ext/per/atrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":403.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["450959268"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":524.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["450959268"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00731","description":"anes upr gi ndsc px nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":504.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431727554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":581.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431648309"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00811","description":"anes lwr intst ndsc nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":279.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00812","description":"anes lwr intst scr colsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431049928"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":459.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431648309"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00813","description":"anes upr lwr gi ndsc px","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":575.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431727554"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00840","description":"anesth surg lower abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":653.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":710.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811355215"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":769.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00920","description":"anesth genitalia surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"00952","description":"anesth hysteroscope/graph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":534.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431564313"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"01112","description":"anesth bone aspirate/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":361.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"01810","description":"anesth lower arm surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":309.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464170334"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"01965","description":"anesth inc/missed ab proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"01967","description":"anesth/analg vag delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":525.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431170100"]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99152","description":"mod sed same phys/qhp 5/>yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80048","description":"metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80050","description":"general health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80051","description":"electrolyte panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80053","description":"comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.69,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80061","description":"lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81001","description":"urinalysis auto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81002","description":"urinalysis nonauto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431270601","431716554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81003","description":"urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82040","description":"assay of serum albumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82043","description":"ur albumin quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82565","description":"assay of creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84436","description":"assay of total thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84439","description":"assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84443","description":"assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239","431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85014","description":"hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85018","description":"hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85025","description":"complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85027","description":"complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85652","description":"rbc sed rate automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86140","description":"c-reactive protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86359","description":"t cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86361","description":"t cell absolute count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87536","description":"hiv-1 quant&revrse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94060","description":"evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":706.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94375","description":"respiratory flow volume loop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"98940","description":"chiropract manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"98941","description":"chiropract manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["853862970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45378","description":"diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["825149031"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":409.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45380","description":"colonoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":159.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":402.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":646.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2758.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45381","description":"colonoscopy submucous njx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45385","description":"colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":398.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":510.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":646.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":871.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1248.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86769","description":"sars-cov-2 covid-19 antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87426","description":"sarscov coronavirus ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637","431664107","824796793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87428","description":"sarscov & inf vir a&b ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87635","description":"sars-cov-2 covid-19 amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661244"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87811","description":"sars-cov-2 covid19 w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G2023","description":"specimen collect covid-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["361924025"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["450454268","873275064"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"U0003","description":"cov-19 amp prb hgh thruput","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532","880241758"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["450454268","873275064"]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"U0005","description":"infec agen detec ampli probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532","880241758"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["450454268","873275064"]}]},{"negotiation_arrangement":"ffs","name":"COVID IMMUNIZ/VACCINE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0004A","description":"Imm admn sarscov2 30mcg/0.3ml dil recon bst dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"COVID IMMUNIZ/VACCINE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0111A","description":"Imm admn sarscov2 25 mcg/0.25 ml 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430960791"]}]},{"negotiation_arrangement":"ffs","name":"COVID IMMUNIZ/VACCINE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0112A","description":"Imm admn sarscov2 25 mcg/0.25 ml 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430960791"]}]},{"negotiation_arrangement":"ffs","name":"COVID IMMUNIZ/VACCINE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0124A","description":"Imm admn sarscov2 bivalent 30 mcg/0.3 ml bst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"COVID IMMUNIZ/VACCINE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"INEL","description":"INEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"DAY TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90791","description":"psych diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["873109110"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261599624"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431032835"]}]},{"negotiation_arrangement":"ffs","name":"DAY TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90792","description":"psych diag eval w/med srvcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431032835"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["030434708","813311881"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["680586012"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":229.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["341741475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["341741475"]}]},{"negotiation_arrangement":"ffs","name":"DAY TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90833","description":"psytx w pt w e/m 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["823111892"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431644593"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["814478248"]}]},{"negotiation_arrangement":"ffs","name":"DAY TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90834","description":"psytx w pt 45 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["452926627"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272948738"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431032835"]}]},{"negotiation_arrangement":"ffs","name":"DAY TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90837","description":"psytx w pt 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["461459887","873109110"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["134623840"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822315248","853124061"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272948738"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93000","description":"electrocardiogram complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","431637707","431682963"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93010","description":"electrocardiogram report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93015","description":"cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93016","description":"cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93018","description":"cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93042","description":"rhythm ecg report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93229","description":"remote 30 day ecg tech supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":835.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["330604557"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93298","description":"rem interrog dev eval scrms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93306","description":"tte w/doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1358.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2432.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93351","description":"stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412175615"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":544.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93880","description":"extracranial bilat study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431242298"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":768.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93925","description":"lower extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":353.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["275493321"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93971","description":"extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":512.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95251","description":"cont gluc mntr analysis i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127648"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95806","description":"sleep study unatt&resp efft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["900634405"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":422.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["472219204"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95810","description":"polysom 6/> yrs 4/> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2687.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95811","description":"polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3421.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95813","description":"eeg extnd mntr 61-119 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1192.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G2066","description":"inter devc remote 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["453756665"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9277","description":"external transmitter, cgm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":693.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"E0603","description":"electric breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":132.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"K0553","description":"ther cgm supply allowance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1765.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"HEARING TESTS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92551","description":"pure tone hearing test air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HEARING TESTS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92587","description":"evoked auditory test limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70450","description":"ct head/brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412007905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":414.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":558.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":579.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":735.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70486","description":"ct maxillofacial w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":894.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70491","description":"ct soft tissue neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":362.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":854.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431527130"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70551","description":"mri brain stem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1054.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71250","description":"ct thorax dx c-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":607.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71260","description":"ct thorax dx c+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":742.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71275","description":"ct angiography chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":330.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":465.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":869.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":891.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1522.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72125","description":"ct neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412007905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":620.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72141","description":"mri neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":544.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72148","description":"mri lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["370919221"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":953.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661172"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72195","description":"mri pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":693.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73720","description":"mri lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208617259"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74177","description":"ct abd & pelv w/contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":589.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1674.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74183","description":"mri abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":461.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":475.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":702.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":983.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77014","description":"ct scan for therapy guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77049","description":"mri breast c-+ w/cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78815","description":"pet image w/ct skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2401.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HI-TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78816","description":"pet image w/ct full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1919.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH CARE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0300","description":"hhs/hospice of lpn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0351  ","description":"CT SCAN HEAD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":894.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0352  ","description":"CT SCAN BODY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2665.15,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0614  ","description":"MAGNETIC RESONANCE IMAGIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1970.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70450","description":"ct head/brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412007905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":414.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":558.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":579.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":735.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70486","description":"CT SCAN HEAD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":894.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70491","description":"ct soft tissue neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":362.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":854.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431527130"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70551","description":"mri brain stem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1054.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71250","description":"ct thorax dx c-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":607.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71260","description":"ct thorax dx c+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":742.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71275","description":"ct angiography chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":330.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":465.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":869.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":891.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1522.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72125","description":"ct neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412007905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":620.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72141","description":"mri neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":544.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72148","description":"mri lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["370919221"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":953.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661172"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72195","description":"mri pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":693.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74177","description":"ct abd & pelv w/contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":589.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1674.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74183","description":"mri abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":461.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":475.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":702.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":983.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78815","description":"pet image w/ct skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2401.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78816","description":"pet image w/ct full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1919.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI-TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C8908","description":"mri w/o fol w/cont, breast,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1633.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0299","description":"hhs/hospice of rn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CARDIAC REHAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93798","description":"cardiac rehab/monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":212.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96401","description":"chemo anti-neopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":339.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96402","description":"chemo hormon antineopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":173.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96413","description":"chemo iv infusion 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":472.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96415","description":"chemo iv infusion addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL CHEMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96417","description":"chemo iv infus each addl seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":269.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0450  ","description":"EMERGENCY SERVICES IN THE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":597.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1590.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1857.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2044.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3931.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"10060","description":"drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464529066"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"29125","description":"apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96360","description":"hydration iv infusion init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":226.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96361","description":"hydrate iv infusion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96374","description":"ther/proph/diag inj iv push","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96375","description":"tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":527.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99203","description":"office o/p new low 30-44 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370662561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":237.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["752051646"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431068291"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431759074","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","431216115","431942386","825050228","830901793","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["200802394"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430835090"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264186970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99204","description":"office o/p new mod 45-59 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":448.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201980363","273511978","320446158","431842211","431903482"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["842830756"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["825149031"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454482673"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972","431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":273.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["465532932"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":298.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201626627"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":308.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":321.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99213","description":"office o/p est low 20-29 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":172.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926819"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["751370140"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752564133"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431568573","431644593","813311881"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364447622","431759074","853862970","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["824796793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","264648943","300450662","371099270","371367215","430954459","431183760","431695193","431716554","431854742","461430648","825050228","901016088","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431748822"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660","861141726"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430738490","431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["113794837"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99281","description":"emr dpt vst mayx req phy/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":342.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99282","description":"emergency dept visit sf mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":675.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":781.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":808.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["920821222"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99283","description":"emergency dept visit low mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":596.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":613.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":758.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1069.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1271.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464529066"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99284","description":"emergency dept visit mod mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":333.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":783.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":784.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1590.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1836.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["813460247"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":355.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":452.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":507.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":953.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99284","description":"EMERGENCY SERVICES IN THE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":333.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":783.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":784.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1590.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1836.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["813460247"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":355.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":452.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":507.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":953.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL EMERGENCY ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99285","description":"emergency dept visit hi mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1053.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1111.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1883.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2043.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2546.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["813468641"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464682498"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":524.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":617.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":626.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":659.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":777.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760729179"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0240U","description":"nfct ds vir resp rna 3 trgt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.01,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0300  ","description":"LABORATORY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0301  ","description":"CHEMISTRY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":849.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1272.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2451.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0302  ","description":"IMMUNOLOGY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0305  ","description":"HEMATOLOGY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":172.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":418.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":630.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0306  ","description":"BACTERIOLOGY-MICROBIOLOGY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":844.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1086.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1216.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0307  ","description":"UROLOGY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0312  ","description":"PATHOL/HYSTOL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0352U","description":"nfct ds bv&vaginitis amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":734.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"0353U","description":"iadna chlmyd&gonorr amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":351.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36415","description":"routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431270601","431682963"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36591","description":"draw blood off venous device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80047","description":"metabolic panel ionized ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80048","description":"metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80050","description":"general health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80053","description":"comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.69,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80061","description":"lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80076","description":"hepatic function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80156","description":"assay carbamazepine total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80177","description":"drug scrn quan levetiracetam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80183","description":"drug scrn quant oxcarbazepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80307","description":"drug test prsmv chem anlyzr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":205.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81001","description":"urinalysis auto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81001","description":"UROLOGY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81003","description":"urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81015","description":"microscopic exam of urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81025","description":"urine pregnancy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81025","description":"UROLOGY LAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82010","description":"acetone assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82043","description":"ur albumin quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82103","description":"alpha-1-antitrypsin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82120","description":"amines vaginal fluid qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82306","description":"vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":182.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82330","description":"assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82375","description":"assay carboxyhb quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82435","description":"assay of blood chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82550","description":"assay of ck (cpk)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82565","description":"assay of creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82570","description":"assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82607","description":"vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82627","description":"dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82670","description":"assay of total estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82728","description":"assay of ferritin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82746","description":"assay of folic acid serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82803","description":"blood gases any combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":459.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":466.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82810","description":"blood gases o2 sat only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82947","description":"assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82948","description":"reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208622095"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82962","description":"glucose blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83001","description":"assay of gonadotropin (fsh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83002","description":"assay of gonadotropin (lh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83036","description":"hemoglobin glycosylated a1c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431682963"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83050","description":"hgb methemoglobin quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83540","description":"assay of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83550","description":"iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83605","description":"assay of lactic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83655","description":"assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83690","description":"assay of lipase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83735","description":"assay of magnesium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83880","description":"assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84132","description":"assay of serum potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84144","description":"assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84145","description":"procalcitonin (pct)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84146","description":"assay of prolactin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84153","description":"assay of psa total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84295","description":"assay of serum sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":716.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84402","description":"assay of free testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84403","description":"assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84439","description":"assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84443","description":"assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239","431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84446","description":"assay of vitamin e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84466","description":"assay of transferrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84481","description":"free assay (ft-3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84484","description":"assay of troponin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84590","description":"assay of vitamin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84702","description":"chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84703","description":"chorionic gonadotropin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85014","description":"hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85018","description":"hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85025","description":"complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85347","description":"coagulation time activated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85379","description":"fibrin degradation quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85610","description":"prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85730","description":"thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86038","description":"antinuclear antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86140","description":"c-reactive protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86141","description":"c-reactive protein hs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86364","description":"tiss trnsgltmnase ea ig clas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86592","description":"syphilis test non-trep qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86695","description":"herpes simplex type 1 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86696","description":"herpes simplex type 2 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86701","description":"hiv-1antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86702","description":"hiv-2 antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86704","description":"hep b core antibody total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86706","description":"hep b surface antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86707","description":"hepatitis be antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86803","description":"hepatitis c ab test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86850","description":"rbc antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":200.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["350593390"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":212.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86900","description":"blood typing serologic abo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86901","description":"blood typing serologic rh(d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["350593390"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87077","description":"culture aerobic identify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87081","description":"culture screen only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87086","description":"BACTERIOLOGY-MICROBIOLOGY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87086","description":"urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87088","description":"urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87186","description":"microbe susceptible mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87210","description":"smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87340","description":"hepatitis b surface ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87350","description":"hepatitis be ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87389","description":"hiv-1 ag w/hiv-1&-2 ab ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87390","description":"hiv-1 ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87400","description":"influenza a/b each ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87426","description":"sarscov coronavirus ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637","431664107","824796793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87480","description":"candida dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87491","description":"chlmyd trach dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87502","description":"influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87510","description":"gardner vag dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87517","description":"hepatitis b dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87591","description":"n.gonorrhoeae dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87624","description":"hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87635","description":"sars-cov-2 covid-19 amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661244"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87653","description":"strep b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87660","description":"trichomonas vagin dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87661","description":"trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87880","description":"strep a assay w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431695193"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88175","description":"cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88184","description":"flowcytometry/ tc 1 marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88185","description":"flowcytometry/tc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1985.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88237","description":"tissue culture bone marrow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88264","description":"chromosome analysis 20-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":632.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88304","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88305","description":"PATHOL/HYSTOL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208622095"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":378.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431869449"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":567.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88305","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208622095"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":378.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431869449"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":567.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88307","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":777.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["351687475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":378.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88311","description":"decalcify tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88313","description":"special stains group 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":515.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88341","description":"immunohisto antb addl slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":843.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":765.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88342","description":"PATHOL/HYSTOL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":232.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88342","description":"immunohisto antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":232.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88374","description":"m/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1293.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93880","description":"extracranial bilat study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.96,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431242298"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":768.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93922","description":"upr/l xtremity art 2 levels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93971","description":"extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":512.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94060","description":"evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":706.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94726","description":"pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94729","description":"co/membane diffuse capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":372.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94760","description":"measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94761","description":"measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95806","description":"sleep study unatt&resp efft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["900634405"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":422.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["472219204"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C9803","description":"hopd covid-19 spec collect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0145","description":"scr c/v cyto,thinlayer,rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0472","description":"hep c screen high risk/other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0476","description":"hpv combo assay ca screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.45,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0480","description":"drug test def 1-7 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77063","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426","436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431028381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77065","description":"dx mammo incl cad uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":291.71,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77066","description":"dx mammo incl cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77067","description":"scr mammo bi incl cad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":358.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426","436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431028381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0279","description":"tomosynthesis, mammo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0250  ","description":"PHARMACY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":276.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1201.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0251  ","description":"DRUGS/GENERIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0255  ","description":"DIAGNOSTIC DRUGS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431527130"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0258  ","description":"INTRAVENOUS SOLUTIONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":542.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0260  ","description":"IV THERARY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":487.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1556.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0270  ","description":"MEDICAL SUPPLIES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":408.73,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":516.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0271  ","description":"MEDICAL/SURGICAL SUPPLIES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0272  ","description":"STERILE SUPPLIES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["472219204"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":338.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":405.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":641.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1639.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1903.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0278  ","description":"OTHER IMPLANTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":271.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":600.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0370  ","description":"ANESTHESIA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":216.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":269.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":344.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":530.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":949.53,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1143.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1605.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3767.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0636  ","description":"DRUGS REQUIRING DETAIL CO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1064.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0710  ","description":"RECOVERY ROOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":156.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":730.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":795.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1670.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4863.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0720  ","description":"LABOR AND DELIVERY ROOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5359.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0721  ","description":"LABOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":767.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0761  ","description":"TREATMENT OR OBSERVATOIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0940  ","description":"OTHER RX SVS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":531.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1361.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"12001","description":"rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36600","description":"withdrawal of arterial blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":205.45,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43251","description":"egd remove lesion snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2222.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["825149031"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45380","description":"colonoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":159.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":402.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":646.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2758.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45381","description":"colonoscopy submucous njx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":435.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"45385","description":"colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":398.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":404.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":510.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264777940"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":646.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":871.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1248.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84295","description":"RECOVERY ROOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":716.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92928","description":"prq card stent w/angio 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14119.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":766.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92978","description":"endoluminl ivus oct c 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21596.45,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92979","description":"endoluminl ivus oct c ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3527.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93458","description":"l hrt artery/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2058.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6034.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":462.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94640","description":"airway inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":261.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96360","description":"hydration iv infusion init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":226.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96361","description":"hydrate iv infusion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96365","description":"ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":282.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":708.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96366","description":"ther/proph/diag iv inf addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96367","description":"tx/proph/dg addl seq iv inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96368","description":"ther/diag concurrent inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96372","description":"ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96374","description":"ther/proph/diag inj iv push","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96375","description":"tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":527.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99152","description":"mod sed same phys/qhp 5/>yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99153","description":"mod sed same phys/qhp ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99203","description":"office o/p new low 30-44 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370662561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":237.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["752051646"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431068291"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431759074","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","431216115","431942386","825050228","830901793","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["200802394"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430835090"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264186970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99213","description":"office o/p est low 20-29 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":172.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926819"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["751370140"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752564133"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431568573","431644593","813311881"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364447622","431759074","853862970","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["824796793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","264648943","300450662","371099270","371367215","430954459","431183760","431695193","431716554","431854742","461430648","825050228","901016088","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431748822"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660","861141726"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430738490","431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["113794837"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9575","description":"inj gadoterate meglumi 0.1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9577","description":"inj multihance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1713","description":"anchor/screw bn/bn,tis/bn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":721.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1725","description":"cath, translumin non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":519.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1753","description":"cath, intravas ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1080.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1760","description":"closure dev, vasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":309.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1769","description":"guide wire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":375.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1781","description":"mesh (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":715.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1788","description":"port, indwelling, imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":384.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1874","description":"stent, coated/cov w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1265.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1887","description":"catheter, guiding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C1894","description":"intro/sheath, non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":227.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":399.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"C9113","description":"inj pantoprazole sodium, via","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0121","description":"colon ca scrn not hi rsk ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1493.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0378","description":"hospital observation per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":533.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":672.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1315.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0382","description":"lev 3 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":319.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0383","description":"lev 4 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0463","description":"hospital outpt clinic visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0171","description":"adrenalin epinephrine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0330","description":"succinycholine chloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0689","description":"inj cefazolin sodium, baxter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0690","description":"cefazolin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0694","description":"cefoxitin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0897","description":"denosumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6085.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1100","description":"dexamethasone sodium phos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["830901793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1170","description":"hydromorphone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1200","description":"diphenhydramine hcl injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1439","description":"inj ferric carboxymaltos 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4950.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1642","description":"inj heparin sodium per 10 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1644","description":"inj heparin sodium per 1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1756","description":"iron sucrose injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":208.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1836","description":"inj, metronidazole, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1885","description":"ketorolac tromethamine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1953","description":"levetiracetam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2250","description":"inj midazolam hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2270","description":"morphine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2370","description":"phenylephrine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2405","description":"ondansetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2469","description":"palonosetron hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2543","description":"piperacillin/tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2704","description":"inj, propofol, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2710","description":"neostigmine methylslfte inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2765","description":"metoclopramide hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2930","description":"methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J3010","description":"fentanyl citrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J3411","description":"thiamine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J3475","description":"inj magnesium sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J3490","description":"drugs unclassified injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7030","description":"normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7040","description":"normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.01,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7050","description":"normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7060","description":"5% dextrose/water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7120","description":"ringers lactate infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7121","description":"5% dextrose in lac ringers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7512","description":"prednisone ir or dr oral 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J8540","description":"oral dexamethasone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J9041","description":"injection, bortezomib, 0.1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J9045","description":"carboplatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J9144","description":"daratumumab, hyaluronidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18954.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J9263","description":"oxaliplatin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J9267","description":"paclitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q9963","description":"hocm 350-399mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.71,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q9966","description":"locm 200-299mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["830901793"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q9967","description":"locm 300-399mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"S0028","description":"injection, famotidine, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OCCUPATIONAL THP","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0434  ","description":"OT/EVAL/RE-EVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0360  ","description":"OPERATING ROOM SERVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3155.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5011.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18493.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"10021","description":"fna bx w/o img gdn 1st les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1246.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205953387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"12001","description":"rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20206","description":"needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1246.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"29879","description":"knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2208.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"29882","description":"knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2208.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36561","description":"insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1447.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3742.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":505.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"38222","description":"dx bone marrow bx & aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1888.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"42826","description":"removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1909.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205953387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":335.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43239","description":"egd biopsy single/multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1656.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43249","description":"esoph egd dilation <30 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1656.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":198.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"49650","description":"lap ing hernia repair init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5702.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1444.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454482673"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"49999","description":"unlisted px abd pertm&omn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1101.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58563","description":"OPERATING ROOM SERVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3155.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58571","description":"tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7394.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16560.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["350593390"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1262.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58662","description":"laparoscopy excise lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2442.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"59812","description":"treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3572.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":420.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"64721","description":"carpal tunnel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1041.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205579933"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":503.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"66830","description":"removal of lens lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2425.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OPERATING ROOM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"67040","description":"laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3872.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1045.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0420  ","description":"PHYSICAL THERAPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":223.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0424  ","description":"PT/EVAL/RE-EVAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":436.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97010","description":"hot or cold packs therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97012","description":"mechanical traction therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97110","description":"therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":271.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97112","description":"neuromuscular reeducation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97140","description":"manual therapy 1/> regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97161","description":"pt eval low complex 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471754735"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97162","description":"pt eval mod complex 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97530","description":"therapeutic activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["475528571"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77280","description":"set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":807.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77290","description":"set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1384.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77300","description":"radiation therapy dose plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":921.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1576.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77301","description":"radiotherapy dose plan imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4324.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6471.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":632.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77334","description":"radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":990.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1124.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77336","description":"radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":549.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":732.01,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77338","description":"design mlc device for imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2305.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2767.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":354.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77370","description":"radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":940.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77386","description":"ntsty modul rad tx dlvr cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1794.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2429.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77399","description":"unlisted px med radj physics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL RADIATION THER","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77470","description":"special radiation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1733.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2019.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0320  ","description":"RADIOLOGY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":342.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0324  ","description":"DX X-RAY/CHEST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0402  ","description":"ULTRASOUND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1528.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0730  ","description":"ELECTROCARDIOGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":198.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71045","description":"x-ray exam chest 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71046","description":"x-ray exam chest 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431883771"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71100","description":"x-ray exam ribs uni 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":370.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661218"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430954380"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72072","description":"x-ray exam thorac spine 3vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72082","description":"x-ray exam entire spi 2/3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":298.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72100","description":"x-ray exam l-s spine 2/3 vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73030","description":"x-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":368.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201626627"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73100","description":"x-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73110","description":"x-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":374.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73130","description":"x-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73502","description":"x-ray exam hip uni 2-3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":324.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["843739977"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431903482"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73523","description":"x-ray exam hips bi 5/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73562","description":"x-ray exam of knee 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","261393906"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73564","description":"x-ray exam knee 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370662561"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74018","description":"x-ray exam abdomen 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76536","description":"us exam of head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":419.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76641","description":"ultrasound breast complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":460.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76642","description":"ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1092.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76705","description":"echo exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76706","description":"us abdl aorta screen aaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76801","description":"ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":651.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76811","description":"ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76815","description":"ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":689.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493","460847235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76817","description":"transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":574.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76819","description":"fetal biophys profil w/o nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":757.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76830","description":"transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":209.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":447.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["473109067"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["200802394"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76856","description":"us exam pelvic complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":245.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":582.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["473109067"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76937","description":"us guide vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":218.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76942","description":"echo guide for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":483.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77001","description":"fluoroguide for vein device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77080","description":"dxa bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":367.71,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78452","description":"ht muscle image spect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1201.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1578.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93005","description":"electrocardiogram tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":141.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":156.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.29,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":271.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93017","description":"cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":865.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1188.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93225","description":"ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":723.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93306","description":"tte w/doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431637707"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1358.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2432.43,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93351","description":"stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["412175615"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":544.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95810","description":"polysom 6/> yrs 4/> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2687.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95811","description":"polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3421.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"95813","description":"eeg extnd mntr 61-119 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1192.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9502","description":"tc99m tetrofosmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.15,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9552","description":"f18 fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":393.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":394.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99221","description":"1st hosp ip/obs sf/low 40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217","460847235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431854902"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99222","description":"1st hosp ip/obs moderate 55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["680602330"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430835090"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":264.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["461459234"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99223","description":"1st hosp ip/obs high 75","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454618242"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":273.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["943342387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431854902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":300.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":368.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99232","description":"sbsq hosp ip/obs moderate 35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["680602330"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454618242"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431854902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["461459234"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99233","description":"sbsq hosp ip/obs high 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["489929643","881730151"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":290.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99236","description":"hosp ip/obs same date hi 85","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":277.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["710781138"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99238","description":"hosp ip/obs dschrg mgmt 30/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["030434708"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99239","description":"hosp ip/obs dschrg mgmt >30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["489929643"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454618242"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["943342387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431854902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":228.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99282","description":"emergency dept visit sf mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":675.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":781.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":808.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["920821222"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99283","description":"emergency dept visit low mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":596.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":613.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":758.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1069.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1271.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464529066"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99284","description":"emergency dept visit mod mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":333.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":783.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":784.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":818.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1590.60,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1836.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["813460247"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":355.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":452.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":507.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":953.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99285","description":"emergency dept visit hi mdm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1053.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1111.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1883.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2043.34,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2546.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["813468641"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464682498"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":524.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":617.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":626.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271369141"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":659.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621453389"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":777.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760729179"]}]},{"negotiation_arrangement":"ffs","name":"I/P-O/P PHYS VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99460","description":"init nb em per day hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431708560"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90619","description":"menacwy-tt vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90632","description":"hepa vaccine adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391534049"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90633","description":"hepa vacc ped/adol 2 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062","431664107"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90648","description":"hib prp-t vaccine 4 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["461430648"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90651","description":"9vhpv vaccine 2/3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":284.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611","431771217"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90662","description":"iiv no prsv increased ag im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90671","description":"pcv15 vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90674","description":"cciiv4 vac no prsv 0.5 ml im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90677","description":"pcv20 vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":284.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90686","description":"iiv4 vacc no prsv 0.5 ml im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062","430653611","430960791","431664107","431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","391534049","431664107","431771217"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90688","description":"iiv4 vaccine splt 0.5 ml im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90698","description":"dtap-ipv/hib vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90707","description":"mmr vaccine sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","320554062"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90714","description":"td vacc no presv 7 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637","431383893"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90715","description":"tdap vaccine 7 yrs/> im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107","431681957","431771217"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90716","description":"var vaccine live subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","320554062"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90734","description":"menacwyd/menacwycrm vacc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["436003242"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431695193"]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90750","description":"hzv vacc recombinant im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":205.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]}]},{"negotiation_arrangement":"ffs","name":"INJ/IMMUN ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90460","description":"im admin 1st/only component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431695193","461430648"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"INJ/IMMUN ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90461","description":"im admin each addl component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"INJ/IMMUN ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90471","description":"immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["436003242"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391534049","430960791","431682963","461430648"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"INJ/IMMUN ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"90472","description":"immunization admin each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"INJ/IMMUN ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96372","description":"ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARE UNIT","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0206  ","description":"POST ICU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7668.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80081","description":"obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80164","description":"assay dipropylacetic acd tot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82140","description":"assay of ammonia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82150","description":"assay of amylase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82232","description":"assay of beta-2 protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82247","description":"bilirubin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82248","description":"bilirubin direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82306","description":"vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":182.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82378","description":"carcinoembryonic antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82390","description":"assay of ceruloplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82525","description":"assay of copper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82550","description":"assay of ck (cpk)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82607","description":"vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82653","description":"el-1 fecal quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82670","description":"assay of total estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82728","description":"assay of ferritin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82746","description":"assay of folic acid serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82784","description":"assay iga/igd/igg/igm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82962","description":"glucose blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82977","description":"assay of ggt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83001","description":"assay of gonadotropin (fsh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83010","description":"assay of haptoglobin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83516","description":"immunoassay nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83520","description":"immunoassay quant nos nonab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83521","description":"ig light chains free each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83550","description":"iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83605","description":"assay of lactic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83615","description":"lactate (ld) (ldh) enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83690","description":"assay of lipase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83861","description":"microfluid analy tears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926841"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83880","description":"assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83935","description":"assay of urine osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83970","description":"assay of parathormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84075","description":"assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84144","description":"assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84146","description":"assay of prolactin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84153","description":"assay of psa total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84155","description":"assay of protein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84165","description":"protein e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84166","description":"protein e-phoresis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84270","description":"assay of sex hormone globul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84300","description":"assay of urine sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84402","description":"assay of free testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84403","description":"assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.38,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84425","description":"assay of vitamin b-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84460","description":"alanine amino (alt) (sgpt)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84481","description":"free assay (ft-3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84520","description":"assay of urea nitrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84702","description":"chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84703","description":"chorionic gonadotropin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85045","description":"automated reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85060","description":"blood smear interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85097","description":"bone marrow interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85610","description":"prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85660","description":"rbc sickle cell test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85730","description":"thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"85810","description":"blood viscosity examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86008","description":"allg spec ige recomb ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86038","description":"antinuclear antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86235","description":"nuclear antigen antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86308","description":"heterophile antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86318","description":"ia infectious agent antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86334","description":"immunofix e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86376","description":"microsomal antibody each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86431","description":"rheumatoid factor quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87040","description":"blood culture for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87077","description":"culture aerobic identify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87147","description":"culture type immunologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87186","description":"microbe susceptible mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87210","description":"smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87502","description":"influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87529","description":"hsv dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87651","description":"strep a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87661","description":"trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87798","description":"detect agent nos dna amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87804","description":"influenza assay w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87880","description":"strep a assay w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431695193"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88173","description":"cytopath eval fna report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88189","description":"flowcytometry/read 16 & >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":380.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88304","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88305","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208622095"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":378.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431869449"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":567.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88307","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":777.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["351687475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":378.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88311","description":"decalcify tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88312","description":"special stains group 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88313","description":"special stains group 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":515.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88341","description":"immunohisto antb addl slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":843.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":765.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88342","description":"immunohisto antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":232.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430995408"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88360","description":"tumor immunohistochem/manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431799320"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88364","description":"insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]}]},{"negotiation_arrangement":"ffs","name":"LAB","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88365","description":"insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621729321"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77061","description":"breast tomosynthesis uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77062","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77063","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426","436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431028381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77065","description":"dx mammo incl cad uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":291.71,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.94,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77066","description":"dx mammo incl cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77067","description":"scr mammo bi incl cad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":358.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426","436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431028381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4216","description":"sterile water/saline, 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4224","description":"supply insulin inf cath/wk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":461.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4232","description":"syringe w/needle insulin 3cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4239","description":"non-adju cgm supply allow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":562.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4245","description":"alcohol wipes per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271961913"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4253","description":"blood glucose/reagent strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271961913"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4256","description":"calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271961913"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4258","description":"lancet device each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271961913"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4259","description":"lancets per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["271961913"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4452","description":"waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4604","description":"tubing with heating element","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A4617","description":"mouth piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A6234","description":"hydrocolld drg <=16 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A6402","description":"sterile gauze <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A6449","description":"lt compres band >=3'' <5''/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7030","description":"cpap full face mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7031","description":"replacement facemask interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7033","description":"replacement nasal pillows","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7034","description":"nasal application device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7035","description":"pos airway press headgear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7037","description":"pos airway pressure tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7038","description":"pos airway pressure filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7039","description":"filter, non disposable w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A7046","description":"repl water chamber, pap dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"A9276","description":"disposable sensor, cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1311.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"B4034","description":"enter feed supkit syr by day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"B4152","description":"ef calorie dense>/=1.5kcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["202536458"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q4006","description":"cast sup long arm adult fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q4018","description":"cast sup lng arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q9966","description":"locm 200-299mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["830901793"]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q9967","description":"locm 300-399mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97165","description":"ot eval low complex 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["475528571"]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC APPLIANCES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"L1820","description":"ko elas w/ condyle pads & jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC APPLIANCES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"L1906","description":"afo multilig ank sup pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926819"]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC APPLIANCES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"L3670","description":"so acro/clav can web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC APPLIANCES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"L3908","description":"who cock-up nonmolde pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88141","description":"cytopath c/v interpret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"88175","description":"cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"Q0091","description":"obtaining screen pap smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264648943"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431778456","431861224"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201244058"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97010","description":"hot or cold packs therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97012","description":"mechanical traction therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97014","description":"electric stimulation therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97032","description":"electrical stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97110","description":"therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":271.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97112","description":"neuromuscular reeducation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97140","description":"manual therapy 1/> regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97161","description":"pt eval low complex 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471754735"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431775902"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97162","description":"pt eval mod complex 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97530","description":"therapeutic activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["263694972"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["475528571"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["363771769"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0283","description":"elec stim other than wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99202","description":"office o/p new sf 15-29 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99203","description":"office o/p new low 30-44 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370662561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.98,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":237.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["752051646"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431068291"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431759074","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","431216115","431942386","825050228","830901793","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["200802394"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430835090"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430959561"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":210.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264186970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99204","description":"office o/p new mod 45-59 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":448.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201980363","273511978","320446158","431842211","431903482"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["842830756"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["825149031"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454482673"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972","431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":273.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["465532932"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":298.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201626627"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":308.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":321.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99205","description":"office o/p new hi 60-74 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":208.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260376625"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":228.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":279.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":314.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":343.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99211","description":"off/op est may x req phy/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99212","description":"office o/p est sf 10-19 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621307839"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371367215","430917230","431216115","853862970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99213","description":"office o/p est low 20-29 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":172.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["812782453"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926819"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["751370140"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752564133"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431568573","431644593","813311881"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364447622","431759074","853862970","880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["824796793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["204768243","205096637"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","264648943","300450662","371099270","371367215","430954459","431183760","431695193","431716554","431854742","461430648","825050228","901016088","901075970"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431748822"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660","861141726"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430738490","431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["113794837"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["237246265"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99214","description":"office o/p est mod 30-39 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["814478248"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431644593"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["680586012"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","391534049"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364061985"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264648943","431183760","431201813","431216115","431637707","431682963","431883771","431926841","461430648"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431748822"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["841684660"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127648","431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["620874165"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":141.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["341741475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["341741475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364147189","431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["341741475"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["455450768"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423","320554062","430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":191.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":212.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99215","description":"office o/p est hi 40-54 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":141.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":218.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":274.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":277.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":284.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99384","description":"prev visit new age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99385","description":"prev visit new age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320084051"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":133.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431861224"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99386","description":"prev visit new age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["264648943"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99392","description":"prev visit est age 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["461430648"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320453423"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":159.63,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99393","description":"prev visit est age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99394","description":"prev visit est age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430738490"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431695193"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99395","description":"prev visit est age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430954459"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["751370140"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99396","description":"prev visit est age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["584348905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431778456"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431270601","431507746"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["370661218"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454213957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431332368","431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":184.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":188.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":191.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99397","description":"per pm reeval est pat 65+ yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99417","description":"prolng op e/m each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272127523"]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0180","description":"md certification hha patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"PPACA DIAGNOSTIC SERVICES","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96110","description":"developmental screen w/score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"PPACA GESTATIONAL DIABETE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82948","description":"reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["208622095"]}]},{"negotiation_arrangement":"ffs","name":"PPACA GESTATIONAL DIABETE","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82950","description":"glucose test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83540","description":"assay of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86592","description":"syphilis test non-trep qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87070","description":"culture othr specimn aerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87081","description":"culture screen only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87086","description":"urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87088","description":"urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["260230686"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87340","description":"hepatitis b surface ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87389","description":"hiv-1 ag w/hiv-1&-2 ab ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87491","description":"chlmyd trach dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87591","description":"n.gonorrhoeae dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.64,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917230"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752956384"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87624","description":"hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87625","description":"hpv types 16 & 18 only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431580575"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"87801","description":"detect agnt mult dna ampli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PPACA LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"G0435","description":"oral hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320084051"]}]},{"negotiation_arrangement":"ffs","name":"PPACA/CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82947","description":"assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.11,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PPACA/CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83036","description":"hemoglobin glycosylated a1c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.62,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431682963"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752613493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PPACA/CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"83655","description":"assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"PPACA/CDM LABS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86803","description":"hepatitis c ab test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["471814607"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]}]},{"negotiation_arrangement":"ffs","name":"PSYCH TESTING","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96127","description":"brief emotional/behav assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431695193"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"PSYCH TESTING","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"97151","description":"bhv id assmt by phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811580393"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["760749844"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"80074","description":"acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"81025","description":"urine pregnancy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.21,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"82570","description":"assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"84156","description":"assay of protein urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86704","description":"hep b core antibody total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"86706","description":"hep b surface antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77263","description":"radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77300","description":"radiation therapy dose plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":921.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1576.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77301","description":"radiotherapy dose plan imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4324.61,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6471.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":632.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77334","description":"radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":990.05,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1124.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77338","description":"design mlc device for imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2305.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2767.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":354.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77427","description":"radiation tx management x5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":286.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"RADIATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77470","description":"special radiation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1733.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2019.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"REVIEW","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"S9083","description":"urgent care center global","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205521741"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0110  ","description":"SINGLE PATIENT ROOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2450.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0120  ","description":"ROOM-BOARD/SEMI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2450.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3909.88,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4350.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436003859"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0122  ","description":"OB/2BED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4139.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0124  ","description":"PSYCH/2BED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"0126  ","description":"DETOX/2BED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6755.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["421573141"]}]},{"negotiation_arrangement":"ffs","name":"ROOM AND BOARD","billing_code_type":"RC","billing_code_type_version":"2023","billing_code":"1002  ","description":"RES TRTMT CHEM DEP-BEHVR HEALTH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":845.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["475308541"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4424.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["421573141"]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99406","description":"behav chng smoking 3-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92507","description":"speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["811580393"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"10021","description":"fna bx w/o img gdn 1st les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1246.30,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205953387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"10060","description":"drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464529066"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"11042","description":"deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["620874165"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"11043","description":"deb musc/fascia 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["620811256"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"11424","description":"exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":600.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"11750","description":"removal of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431759074"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"13160","description":"late closure of wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":857.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["620811256"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"17000","description":"destruct premalg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.27,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364447622"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["823409529"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"17003","description":"destruct premalg les 2-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364447622"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["823409529"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"17110","description":"destruct b9 lesion 1-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["391351587"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20206","description":"needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1246.83,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20600","description":"drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20605","description":"drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.18,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20610","description":"drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"20611","description":"drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"24650","description":"treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"25600","description":"treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"28490","description":"treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":132.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"29065","description":"application of long arm cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"31231","description":"nasal endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431854742"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":275.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"33285","description":"insj subq car rhythm mntr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.56,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36561","description":"insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1447.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3742.06,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":505.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"38222","description":"dx bone marrow bx & aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1888.68,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"40808","description":"biopsy of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"42826","description":"removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1909.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205953387"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":335.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320040235"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43239","description":"egd biopsy single/multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1656.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43249","description":"esoph egd dilation <30 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1656.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":198.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"43251","description":"egd remove lesion snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2222.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.69,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["825149031"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"49650","description":"lap ing hernia repair init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5702.33,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1444.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["454482673"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"55250","description":"removal of sperm duct(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":513.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430835090"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58100","description":"biopsy of uterus lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["020571279"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58340","description":"catheter for hysterography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.22,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["383979455"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58571","description":"tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7394.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16560.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["350593390"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1262.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"58662","description":"laparoscopy excise lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2442.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["272481555"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"59510","description":"cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3279.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"59812","description":"treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3572.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":420.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"62321","description":"njx interlaminar crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":290.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"62323","description":"njx interlaminar lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["830901793"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"64721","description":"carpal tunnel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1041.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["205579933"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":503.68,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"67028","description":"injection eye drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621042760"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1000.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"67040","description":"laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3872.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["261439695"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1045.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"69209","description":"remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"69210","description":"remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.17,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92928","description":"prq card stent w/angio 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14119.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":766.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"SURGERY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"93458","description":"l hrt artery/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2058.13,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6034.75,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":462.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96360","description":"hydration iv infusion init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":226.72,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96361","description":"hydrate iv infusion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.18,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96365","description":"ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":282.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":708.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96374","description":"ther/proph/diag inj iv push","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.58,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"96375","description":"tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":527.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J0178","description":"aflibercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3046.46,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1030","description":"methylprednisolone 40 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1040","description":"methylprednisolone 80 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1100","description":"dexamethasone sodium phos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["830901793"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J1885","description":"ketorolac tromethamine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2353","description":"octreotide injection, depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8104.20,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8148.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8183.32,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8200.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8221.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2405","description":"ondansetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430980256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2778","description":"ranibizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621042760"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J2930","description":"methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.16,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J3301","description":"triamcinolone acet inj nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"J7030","description":"normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.70,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.71,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"S0028","description":"injection, famotidine, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94664","description":"evaluate pt use of inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431201813"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94726","description":"pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.41,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SRVC/PROC","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"94729","description":"co/membane diffuse capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":372.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.42,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["342028972"]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE/BLOOD DRAWS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36415","description":"routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["592447554"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.35,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.90,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["362513909"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["222405059"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621802294"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370","840611484"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["133757370"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431270601","431682963"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.82,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["382084239"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431039532"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["463092721"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE/BLOOD DRAWS","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"36416","description":"capillary blood draw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.80,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["320554062"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92012","description":"eye exam establish patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92014","description":"eye exam&tx estab pt 1/>vst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621042760"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430958560","562491820"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92015","description":"determine refractive state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430958560","562491820"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92083","description":"visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.76,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430958560"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92201","description":"opscpy extnd rta draw uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431842211"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99173","description":"visual acuity screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["810584868"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99174","description":"ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"VISION EXAM","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"99177","description":"ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"59025","description":"fetal non-stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["460847235"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"70210","description":"x-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431883771"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71045","description":"x-ray exam chest 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.74,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["710236856"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.39,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.90,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71046","description":"x-ray exam chest 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["237309937"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.50,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.55,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.59,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.31,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431883771"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.87,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["263956318"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"71100","description":"x-ray exam ribs uni 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":370.51,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["370661218"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430954380"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72040","description":"x-ray exam neck spine 2-3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431833381"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72082","description":"x-ray exam entire spi 2/3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":298.80,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72100","description":"x-ray exam l-s spine 2/3 vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.91,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652656"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.95,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.99,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["562403146"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"72110","description":"x-ray exam l-2 spine 4/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.60,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73030","description":"x-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":368.28,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["371359605"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["201626627"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.24,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431383893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431216115"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73080","description":"x-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906","431216115"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73100","description":"x-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.40,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["412140764"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.31,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73110","description":"x-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.21,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":374.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430654870"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73130","description":"x-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.66,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73502","description":"x-ray exam hip uni 2-3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.22,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":324.89,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431332368"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["843739977"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.47,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431903482"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73523","description":"x-ray exam hips bi 5/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.20,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["474196634"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73562","description":"x-ray exam of knee 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431664107"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["205051452","261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73590","description":"x-ray exam of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73610","description":"x-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["275493321"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"73630","description":"x-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.50,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["752564133"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.61,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["620811256"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["275493321"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"74018","description":"x-ray exam abdomen 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430652680"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431109990"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76514","description":"echo exam of eye thickness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.03,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926841"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76536","description":"us exam of head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.63,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["436057893"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":419.76,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76641","description":"ultrasound breast complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":460.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431343281"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76642","description":"ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1092.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["364460628"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.51,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76705","description":"echo exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76801","description":"ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":651.96,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.73,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76805","description":"ob us >= 14 wks sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.74,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76811","description":"ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.92,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.55,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76815","description":"ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":689.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653493","460847235"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76816","description":"ob us follow-up per fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.40,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76817","description":"transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":574.09,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76818","description":"fetal biophys profile w/nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.39,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76819","description":"fetal biophys profil w/o nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":757.00,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.44,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["822496814"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76830","description":"transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":209.10,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":447.32,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.30,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["473109067"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["880988603"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.58,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["200802394"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76856","description":"us exam pelvic complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":245.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["430653493"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":582.19,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["201244058"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.11,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.64,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["473109067"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.01,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431771217"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76870","description":"us exam scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["261393906"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76881","description":"us compl joint r-t w/img","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.93,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["854326059"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76937","description":"us guide vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":218.85,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.29,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"76942","description":"echo guide for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":483.03,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77001","description":"fluoroguide for vein device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.57,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431343281"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430948536"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"77002","description":"needle localization by xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430917818"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"78452","description":"ht muscle image spect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1201.97,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["883850676"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1578.44,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["431452426"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.10,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["364925905"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.79,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431681957"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92020","description":"special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.00,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92133","description":"cmptr ophth img optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.15,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["464956595"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.41,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92134","description":"cptr ophth dx img post segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.70,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270","431842211"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.45,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["430653611"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92235","description":"fluorescein angrph uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.23,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92250","description":"eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.83,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["371099270"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.08,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["621042760"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92285","description":"eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926841"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92286","description":"internal eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.89,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["431926841"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92978","description":"endoluminl ivus oct c 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21596.45,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":123.62,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]},{"negotiation_arrangement":"ffs","name":"XRAY","billing_code_type":"CPT","billing_code_type_version":"2023","billing_code":"92979","description":"endoluminl ivus oct c ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3527.56,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":["626002166"]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.66,"expiration_date":"9999-12-31","billing_class":"professional"}],"provider_references":["203251115"]}]}]}