{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2026-07-01","version":"2.0.0","provider_references":[{"provider_group_id":831891953,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"831891953","business_name":"GAC ANESTHESIA LLC "},"npi":[1609223205]}]},{"provider_group_id":646010232,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646010232","business_name":"MEMORIAL HOSPITAL AT GULFPORT "},"npi":[1669624078,1780799981,1073606901,1609203173,1386474401]}]},{"provider_group_id":646010664,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646010664","business_name":"HOLCOMB CLINIC RHC GRENADA "},"npi":[1558305722]}]},{"provider_group_id":720913880,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"720913880","business_name":"PAML "},"npi":[1235127663]}]},{"provider_group_id":640900585,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640900585","business_name":"FAMILY PRACTICE AFTER HOURS CLINIC "},"npi":[1477557098]}]},{"provider_group_id":640834532,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640834532","business_name":"OCHSNER RUSH MEDICAL GROUP R "},"npi":[1467857102,1134160039]}]},{"provider_group_id":810576059,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"810576059","business_name":"PATHGROUP LABS LLC "},"npi":[1235186800]}]},{"provider_group_id":640625076,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640625076","business_name":"SOUTHEAST MS RURAL HEALTH "},"npi":[1003239294,1376504357]}]},{"provider_group_id":640890576,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640890576","business_name":"TUPELO MEDICAL GROUP LLC "},"npi":[1477592632]}]},{"provider_group_id":800885134,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"800885134","business_name":"DUTCH MEDICAL CLINICS INC DBA ALLEG"},"npi":[1255975405]}]},{"provider_group_id":133757370,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"133757370","business_name":"LABCORP BIRMINGHAM "},"npi":[1295726032]}]},{"provider_group_id":640770155,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640770155","business_name":"COMMUNITY HEALTH CLINIC "},"npi":[1114170529,1306909734]}]},{"provider_group_id":621545731,"network_name":["MVP ONLY MULTIPLAN "],"provider_groups":[{"tin":{"type":"ein","value":"621545731","business_name":"BAPTIST MEMORIAL MEDICAL GROUP "},"npi":[1760415087]}]},{"provider_group_id":640507572,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640507572","business_name":"HATTIESBURG CLINIC PA "},"npi":[1740213446,1619018983,1962628966,1336140078,1750843710,1104117688,1750310066]}]},{"provider_group_id":640925177,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640925177","business_name":"PRAVINCHANDRA P PATEL MD PC "},"npi":[1396582508]}]},{"provider_group_id":872596200,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"872596200","business_name":"STEELE MEDICAL CLINIC LLC "},"npi":[1053887208]}]},{"provider_group_id":646008520,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646008520","business_name":"UNIVERSITY PHYSICIANS "},"npi":[1649632415,1609818442,1154317527,1386630705,1891998738,1033406582,1164945846,1457513376,1528086857]}]},{"provider_group_id":260792328,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"260792328","business_name":"OCHSNER HEALTH CENTER LAKE "},"npi":[1316779309]}]},{"provider_group_id":273255652,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"273255652","business_name":"FAMILY MEDICAL CLINIC "},"npi":[1316906548]}]},{"provider_group_id":646000775,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646000775","business_name":"MISSISSIPPI DEPT OF HEALTH "},"npi":[1053489260,1023429974]}]},{"provider_group_id":462977078,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"462977078","business_name":"WINSTON MEDICAL CLINIC LLC "},"npi":[1144897471]}]},{"provider_group_id":640506107,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640506107","business_name":"JACKSON HINDS COMPREHENSIVE HEALTH "},"npi":[1922386218,1902100654,1992315212]}]},{"provider_group_id":640620763,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640620763","business_name":"BYHALIA FAMILY HEALTH CENTER "},"npi":[1558410738]}]},{"provider_group_id":640428003,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640428003","business_name":"MAGNOLIA REGIONAL HEALTH CEN "},"npi":[1699756445]}]},{"provider_group_id":262641267,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"262641267","business_name":"OXFORD DIAGNOSTIC CENTER "},"npi":[1689835639]}]},{"provider_group_id":320583236,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"320583236","business_name":"MONROE HEALTH SERVICES "},"npi":[1164993457]}]},{"provider_group_id":621752111,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"621752111","business_name":"MERIT HEALTH RIVER REGION "},"npi":[1215981303]}]},{"provider_group_id":640772726,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640772726","business_name":"BMH NORTH MISSISSIPPI "},"npi":[1053375576]}]},{"provider_group_id":646000515,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646000515","business_name":"SINGING RIVER HEALTH SYS "},"npi":[1124136593,1912967795]}]},{"provider_group_id":646010402,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646010402","business_name":"WINSTON COUNTY MEDICAL FOUNDATION D"},"npi":[1073597126,1326335886]}]},{"provider_group_id":730927647,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"730927647","business_name":"STILLWATER MEDICAL CENTER "},"npi":[1164494027]}]},{"provider_group_id":640881013,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640881013","business_name":"MISS BAPTIST MEDICAL CTR "},"npi":[1710909585]}]},{"provider_group_id":640333594,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640333594","business_name":"KINGS DAUGHTERS MEDICAL CENTER "},"npi":[1972503464]}]},{"provider_group_id":646001587,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"646001587","business_name":"MARION GENERAL HOSPITAL "},"npi":[1427320993,1922574425]}]},{"provider_group_id":640586958,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640586958","business_name":"DELTA REGIONAL MEDICAL CENTER "},"npi":[1306921887]}]},{"provider_group_id":640345119,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640345119","business_name":"OCHSNER RUSH MEDICAL CEN "},"npi":[1770543399,1962664870,1568444024]}]},{"provider_group_id":720652905,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"720652905","business_name":"WOMANS HOSPITAL "},"npi":[1912943184]}]},{"provider_group_id":640926861,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640926861","business_name":"COLUMBUS ENDOSCOPY CENTER IN "},"npi":[185131277]}]},{"provider_group_id":382084239,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"382084239","business_name":"QUEST DIAGNOSTIC "},"npi":[1790721538]}]},{"provider_group_id":621695507,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"621695507","business_name":"ASSOCIATED PATHOLOGISTS LLC DBA PAT"},"npi":[1003863580,1942526447,1598744773]}]},{"provider_group_id":562444564,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"562444564","business_name":"SIPARADIGM LLC "},"npi":[1306814900]}]},{"provider_group_id":640899072,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640899072","business_name":"HUBCARE PATHOLOGY PA "},"npi":[1790049120]}]},{"provider_group_id":640678600,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640678600","business_name":"SOUTHCOAST PATHOLOGY SERVICES "},"npi":[1790777142]}]},{"provider_group_id":208964726,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"208964726","business_name":"JAMES LEONARD WORKMAN JR PA "},"npi":[1154364545]}]},{"provider_group_id":640409419,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640409419","business_name":"COMPREHENSIVE RADIOLOGY SERVICES "},"npi":[1669400495]}]},{"provider_group_id":720891412,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"720891412","business_name":"RADIOLOGY ASSOCIATES LLC "},"npi":[1427410125]}]},{"provider_group_id":640548144,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640548144","business_name":"LAKELAND RADIOLOGISTS PA "},"npi":[1679060438]}]},{"provider_group_id":640863698,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640863698","business_name":"SMB RADIOLOGY "},"npi":[1255867511]}]},{"provider_group_id":471873485,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"471873485","business_name":"ELITE CARE FAMILY MEDICINE LLC "},"npi":[1588097471]}]},{"provider_group_id":320158728,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"320158728","business_name":"SOUTHERN WOMENS HEALTH PLLC "},"npi":[1851800353]}]},{"provider_group_id":640813832,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640813832","business_name":"GASTROENTEROLOGY ASSOC PA "},"npi":[1578640959]}]},{"provider_group_id":814750772,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"814750772","business_name":"RETINA SPECIALISTS OF MISSISSIPPI P"},"npi":[1679558357]}]},{"provider_group_id":824404269,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"824404269","business_name":"DELTA MEDICAL FOUNDATION "},"npi":[1841076403]}]},{"provider_group_id":461561484,"network_name":["MVP ONLY MULTIPLAN "],"provider_groups":[{"tin":{"type":"ein","value":"461561484","business_name":"SOUTH CENTRAL DERMATOLOGY CLINIC "},"npi":[1396993663]}]},{"provider_group_id":812379910,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"812379910","business_name":"121 MEDICAL PLACE "},"npi":[1760615595]}]},{"provider_group_id":640920714,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640920714","business_name":"PINNACLE MEDICAL CLINIC "},"npi":[1396123402]}]},{"provider_group_id":272818726,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"272818726","business_name":"MAGNOLIA PHYSICIAN SERVICES "},"npi":[1457879801]}]},{"provider_group_id":640667610,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640667610","business_name":"JEFFERSON COUNTY MIDDLE SCHOOL CLI "},"npi":[1003069113]}]},{"provider_group_id":640443928,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640443928","business_name":"DELTA HEALTH CENTER INC "},"npi":[1457631053]}]},{"provider_group_id":822818022,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"822818022","business_name":"FAST PACE MISSISSIPPI PLLC "},"npi":[1457904989]}]},{"provider_group_id":465541802,"network_name":["MULTIPLAN "],"provider_groups":[{"tin":{"type":"ein","value":"465541802","business_name":"MEDICAL ASSOC OF VICKSBURG PLLC "},"npi":[1922237411]}]},{"provider_group_id":844121325,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"844121325","business_name":"ORTHOXPRESS HOLDINGS LLC "},"npi":[1679025787]}]},{"provider_group_id":720276883,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"720276883","business_name":"OCHSNER CLINIC LLC NO "},"npi":[1952529695]}]},{"provider_group_id":203941865,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"203941865","business_name":"CAPITAL ORTHOPAEDIC CLINIC PLLC "},"npi":[1972691020]}]},{"provider_group_id":474372269,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"474372269","business_name":"SPECIALTY ORTHOPEDIC GROUP "},"npi":[1598225450]}]},{"provider_group_id":204360878,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"204360878","business_name":"VIRTUAL RADIOLOGIC PROFESSIONALS "},"npi":[1750366498]}]},{"provider_group_id":412007905,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"412007905","business_name":"VIRTUAL RADIOLOGIC PROFESSIONAL LLC"},"npi":[1154458545]}]},{"provider_group_id":640947928,"network_name":["PCM "],"provider_groups":[{"tin":{"type":"ein","value":"640947928","business_name":"NATCHEZ WOMENS CENTER "},"npi":[1386682011]}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"anes lwr intst scr colsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[831891953]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SCREENING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83721","description":"assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232,646010664]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640428003,646000515,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[320583236]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"general health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[810576059]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640625076,640890576,646010232,646010664,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[621752111,640772726,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640625076,640770155,640900585,646010232,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[621752111,646000515,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"hepatic function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"urinalysis auto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621545731]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"ur albumin quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"assay of phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572,640625076,640900585,646010664]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,640428003,640772726,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.43,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[320583236]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85651","description":"rbc sed rate nonautomated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"c-reactive protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","description":"breathing capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87426","description":"sarscov coronavirus ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640925177]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87811","description":"sars-cov-2 covid19 w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[872596200]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION/TRAINING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0473","description":"group behave couns 2-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PLANNING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1050","description":"medroxyprogesterone acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.36,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[260792328]}]},{"negotiation_arrangement":"ffs","name":"FASTING BLOOD GLUCOSE/PHY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652,640770155]}]},{"negotiation_arrangement":"ffs","name":"FASTING BLOOD GLUCOSE/PHY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82948","description":"reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646000775]}]},{"negotiation_arrangement":"ffs","name":"FASTING BLOOD GLUCOSE/PHY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"hemoglobin glycosylated a1c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652,462977078,640506107,640620763,640625076,640890576,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520,646010232]}]},{"negotiation_arrangement":"ffs","name":"HI TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74176","description":"ct abd & pelvis w/o contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":351.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72127","description":"ct neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72146","description":"mri chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":344.50,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640428003]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74176","description":"ct abd & pelvis w/o contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":351.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,320583236,621752111,640428003,640772726,646000515,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[462977078,471873485,640507572,640625076,640770155,640900585,646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507,640507572,640890576,646000775,646008520,646010232,646010664,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640428003,646000515,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[320583236]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640625076,640890576,646010232,646010664,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[621752111,640772726,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640625076,640770155,640900585,646010232,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[621752111,646000515,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"hepatic function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621545731]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"ur albumin quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82044","description":"ur albumin semiquantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"assay of total estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.32,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640772726]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"assay of ferritin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"assay of folic acid serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"hemoglobin glycosylated a1c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652,462977078,640506107,640620763,640625076,640890576,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520,646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"assay of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83721","description":"assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232,646010664]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"assay of parathormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640772726]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232,646010664,800885134]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"assay triiodothyronine (t3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.43,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"assay of blood/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.07,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[730927647]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572,640625076,640900585,646010664]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,640428003,640772726,646008520,646010232,646010402]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.43,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[320583236]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"hepatitis c ab test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.49,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[320158728]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87210","description":"smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.13,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640881013]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.59,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572,640625076]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93970","description":"extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":339.82,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640333594]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646001587]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640586958]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[720652905]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208964726]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640409419,720891412]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640548144,640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.70,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.83,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"scr mammo bi incl cad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640586958]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.54,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646001587]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.28,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":133.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[720652905]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208964726]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640409419,720891412]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.87,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640548144,640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"Q9967","description":"locm 300-399mg/ml iodine,1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":305.30,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45378","description":"diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1139.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640926861]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73130","description":"x-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720276883]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203941865]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76642","description":"ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76801","description":"ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":173.33,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[730927647]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[204360878]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76882","description":"us lmtd jt/fcl evl nvasc xtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646001587]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76981","description":"use parenchyma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77062","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.70,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77066","description":"dx mammo incl cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82103","description":"alpha-1-antitrypsin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82104","description":"alpha-1-antitrypsin pheno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"bilirubin direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"assay of ige","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82962","description":"glucose blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.26,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640620763]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"assay of magnesium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85520","description":"heparin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85576","description":"blood platelet aggregation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"antinuclear antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.41,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86039","description":"antinuclear antibodies (ana)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"dna antibody native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"nuclear antigen antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86430","description":"rheumatoid factor test qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87040","description":"blood culture for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720913880]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87210","description":"smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87502","description":"influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.54,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640925177]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"hsv dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87804","description":"influenza assay w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[872596200]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880","description":"strep a assay w/optic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640925177]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88184","description":"flowcytometry/ tc 1 marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[562444564]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88185","description":"flowcytometry/tc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":770.82,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[562444564]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88189","description":"flowcytometry/read 16 & >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[562444564]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88304","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640899072]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.42,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640678600]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":173.36,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"special stains group 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":251.34,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640899072]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94726","description":"pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.85,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94729","description":"co/membane diffuse capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99000","description":"specimen handling office-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646001587]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640586958]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[720652905]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208964726]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640409419,720891412]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640548144,640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.70,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.83,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77066","description":"dx mammo incl cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"scr mammo bi incl cad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640586958]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.54,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.10,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646001587]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.28,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":133.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[720652905]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208964726]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640409419,720891412]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.87,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640548144,640834532]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010402]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"OP HOSP CLINIC VISIT","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","description":"prev visit est age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640443928,640506107]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[822818022]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.37,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[471873485]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.76,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640345119]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"cytopath c/v interpret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"cytopath c/v thin layer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]}]},{"negotiation_arrangement":"ffs","name":"PAP SMEAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.59,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572,640625076]}]},{"negotiation_arrangement":"ffs","name":"PPACA BLOOD DRAW/VENIPUNC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,320583236,621752111,640428003,640772726,646000515,646008520,646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[462977078,471873485,640507572,640625076,640770155,640900585,646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507,640507572,640890576,646000775,646008520,646010232,646010664,800885134]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PPACA BLOOD DRAW/VENIPUNC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36416","description":"collj capillary blood spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640625076]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[800885134]}]},{"negotiation_arrangement":"ffs","name":"PPACA COLORECTAL XRY/LAB","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"assay test for blood fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.70,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576]}]},{"negotiation_arrangement":"ffs","name":"PPACA HEMATOCRIT/HEMOGLOB","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572,646000775]}]},{"negotiation_arrangement":"ffs","name":"PPACA HPV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.13,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640881013]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]}]},{"negotiation_arrangement":"ffs","name":"PPACA HYPOTHYROIDISM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[262641267,646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232,646010664,800885134]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90656","description":"iiv3 vacc no prsv 0.5 ml im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.54,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[800885134]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"cciiv3 vac no prsv 0.5 ml im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.38,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[800885134]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[260792328]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0008","description":"admin influenza virus vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652]}]},{"negotiation_arrangement":"ffs","name":"PPACA MENTAL HEALTH","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"brief emotional/behav assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[320158728]}]},{"negotiation_arrangement":"ffs","name":"PPACA MENTAL HEALTH","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0444","description":"depression screen annual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"syphilis test non-trep qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"treponema pallidum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646000775]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"hiv-1 ag w/hiv-1&-2 ab ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155,646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"chlmyd trach dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507,646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"n.gonorrhoeae dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507,646000775]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PPACA-PREG BACT/HEPA B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.49,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646008520]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[320158728]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"office o/p new mod 45 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640813832]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":198.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[814750772]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":215.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"office o/p est sf 10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.56,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640506107]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"office o/p est low 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[824404269]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[273255652]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640620763,646010664]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[814750772]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"office o/p est mod 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.39,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[461561484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640506107]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[812379910]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[462977078]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640900585]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.97,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640920714]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.01,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646008520]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"office o/p est hi 40 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621545731]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"off/op cnsltj new/est mod 40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","description":"prev visit est age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646000775]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","description":"prev visit est age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[272818726,640667610]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.66,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","description":"prev visit est age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":148.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640443928,640506107]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640770155]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[822818022]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":105.37,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[471873485]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.76,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640345119]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81025","description":"urine pregnancy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[621695507]}]},{"negotiation_arrangement":"ffs","name":"PrEP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646000515]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640890576,646010232]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","description":"x-ray exam chest 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[465541802]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.98,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73110","description":"x-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.76,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[844121325]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73130","description":"x-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[640345119]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[720276883]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203941865]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73503","description":"x-ray exam hip uni 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[474372269]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73564","description":"x-ray exam knee 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[474372269]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76642","description":"ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76801","description":"ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":173.33,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[730927647]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[204360878]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76815","description":"ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[412007905]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76817","description":"transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640947928]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76830","description":"transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.04,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[320158728]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76942","description":"echo guide for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.42,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[844121325]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77062","description":"breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.70,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[646010232]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640863698]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92134","description":"cptr ophth dx img post segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.93,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[814750772]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92235","description":"fluorescein angrph mltiframe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.27,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[814750772]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93041","description":"rhythm ecg tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.18,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640920714]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"slp stdy unattended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":191.49,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[640507572]}]}]}