{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2026-04-01","version":"2.0.0","provider_references":[{"provider_group_id":470772952,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470772952","business_name":"MIDWEST GASTROINTESTINAL ASSOC     "},"npi":[1336231216,1598920415]}]},{"provider_group_id":470549186,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470549186","business_name":"PHYSICIANS LABORATORY SERVICES INC "},"npi":[1396833026]}]},{"provider_group_id":470687317,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470687317","business_name":"WESTROADS MPC                      "},"npi":[1013978196,1407293483,1265412233,1720831381,1396061974,1811730286,1427762434,1306527148,1326471517,1538654785,1154382141,1790861920,1073961876,1346479706]}]},{"provider_group_id":133757370,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"133757370","business_name":"LABCORP OVERLAND PARK              "},"npi":[1285014282]}]},{"provider_group_id":470765154,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470765154","business_name":"ALEGENT CREIGHTON CLINIC           "},"npi":[1699939538,1164940466,1225514185,1740803022,1760960934,1811520802,1710177944,1528723160,1144529397]}]},{"provider_group_id":470808172,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470808172","business_name":"MIDWEST ENDOSCOPY SERVICES LLC     "},"npi":[1053385328]}]},{"provider_group_id":933392598,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"933392598","business_name":"MEDIFAST URGENT CARE LLC           "},"npi":[1114667532]}]},{"provider_group_id":420727488,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"420727488","business_name":"PPH                                "},"npi":[1124837851]}]},{"provider_group_id":753046400,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"753046400","business_name":"PRIMARY CARE PHYSICIANS LLP        "},"npi":[1962594390]}]},{"provider_group_id":470526763,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470526763","business_name":"RADIOLOGIC CENTER INC              "},"npi":[1679511828,1609122258,1740492230,1285652628,1629096060,1821208356]}]},{"provider_group_id":470527459,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470527459","business_name":"RADIOLOGY CONSULTANTS PC           "},"npi":[1518902709,1689836124,1023429925]}]},{"provider_group_id":470785575,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470785575","business_name":"UNMC PHYSICIANS                    "},"npi":[1346451002,1487690194,1295787257]}]},{"provider_group_id":470376604,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470376604","business_name":"NEBRASKA METHODIST HOSPITAL        "},"npi":[1427147883]}]},{"provider_group_id":470484764,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470484764","business_name":"CHI HEALTH MERCY COUNCIL BLUFFS    "},"npi":[1265517759,1508941097]}]},{"provider_group_id":911858433,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"911858433","business_name":"THE NEBRASKA MEDICAL CENTER        "},"npi":[1356307581]}]},{"provider_group_id":470376615,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470376615","business_name":"CHI HEALTH IMMANUEL                "},"npi":[1912085184]}]},{"provider_group_id":470560033,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470560033","business_name":"ENT SPECIALISTS PC                 "},"npi":[1295985646]}]},{"provider_group_id":470781645,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470781645","business_name":"OMAHA NEPHROLOGY                   "},"npi":[1831126259]}]},{"provider_group_id":208001200,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"208001200","business_name":"VILLAGE POINTE PEDIATRICS          "},"npi":[1356416358]}]},{"provider_group_id":470619405,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470619405","business_name":"MD WEST ONE PC                     "},"npi":[1780735340]}]},{"provider_group_id":470548630,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"470548630","business_name":"LINCOLN RADIOLOGY GROUP            "},"npi":[1275587487]}]}],"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":582.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470772952]}]},{"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":11.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":12.24,"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":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":15.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":10.45,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":2.93,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"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":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":12.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":17.32,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":[470549186]},{"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":12.81,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"c-reactive protein hs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45378","description":"diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":336.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470808172]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":350.97,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470772952]}]},{"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":[470765154]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87635","description":"sars-cov-2 covid-19 amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.59,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87637","description":"sarscov2&inf a&b&rsv amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":[933392598]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION/TRAINING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97802","description":"medical nutrition indiv in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PLANNING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11981","description":"insertion drug dlvr implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":206.39,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PLANNING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11982","description":"remove drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.97,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[420727488]}]},{"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":102.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PLANNING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J7307","description":"etonogestrel implant system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":846.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":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":16.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[753046400]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"HI TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70553","description":"mri brain stem w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.54,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":960.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":176.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"HI TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74177","description":"ct abd & pelv w/contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470785575]}]},{"negotiation_arrangement":"ffs","name":"HI TECH IMAGING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77049","description":"mri breast c-+ w/cad bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]}]},{"negotiation_arrangement":"ffs","name":"HOSP HI TECH IMAGING SERV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70553","description":"mri brain stem w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.54,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":960.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":176.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":11.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":12.24,"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":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":15.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81514","description":"nfct ds bv&vaginitis dna alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":276.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":[470549186]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":61.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":7.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.80,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"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":30.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"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":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":16.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[753046400]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":12.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":19.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":62.70,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","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":12.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"assay of protein urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"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":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":23.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]}]},{"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":17.32,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"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":[470549186]},{"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":12.81,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"hpylori stool ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[911858433]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87507","description":"iadna-dna/rna probe tq 12-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":900.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[911858433]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87635","description":"sars-cov-2 covid-19 amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.59,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"detect agnt mult dna ampli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93923","description":"upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.80,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93971","description":"extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.81,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376615]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.18,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"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":150.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"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":150.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"A9585","description":"gadobutrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":392.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76856","description":"us exam pelvic complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":514.60,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95811","description":"polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1586.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376615]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"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":61.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"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":19.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.50,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83880","description":"assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"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":62.70,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"assay of protein urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85007","description":"bl smear w/diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85379","description":"fibrin degradation quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"anca screen each antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"c-reactive protein hs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86255","description":"fluorescent antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86765","description":"rubeola antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":25.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.68,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"strep a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"detect agent nos dna amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":[933392598]}]},{"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":[470765154]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92556","description":"speech audiometry complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470560033]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","description":"tympanometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.25,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470560033]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94640","description":"airway inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[933392598]}]},{"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":150.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"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":150.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.72,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"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":44.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA ANEMIA 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":12.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":3.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154,470781645]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[753046400]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.04,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.02,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA HEARING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","description":"pure tone audiometry air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470560033]}]},{"negotiation_arrangement":"ffs","name":"PPACA HEMATOCRIT/HEMOGLOB","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85014","description":"hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":9.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":23.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[133757370]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90619","description":"menacwy-tt vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":900.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90620","description":"menb-4c vacc 2 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":262.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"9vhpv vaccine 2/3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.17,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":356.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90677","description":"pcv20 vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":722.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA IMMU ADULT & CHILD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90715","description":"tdap vaccine 7 yrs/> im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200,470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","description":"im admin 1st/only component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90461","description":"im admin each addl component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"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":22.13,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.55,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.37,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA INJ ADMIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","description":"immunization admin each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":22.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"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":5.96,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PPACA STD/HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80074","description":"acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":12.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":39.60,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":86.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":86.90,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PPACA VISUAL ACUITY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99173","description":"visual acuity screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"office o/p new low 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.01,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470619405]}]},{"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":84.70,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[933392598]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":190.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[753046400]}]},{"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":124.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.85,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.01,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","description":"prev visit est age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":97.33,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"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":109.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[208001200]}]},{"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":248.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":136.91,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]},{"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":21.45,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"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":7.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470484764]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.80,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470549186]}]},{"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":22.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470526763]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.70,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72050","description":"x-ray exam neck spine 4/5vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.29,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470548630]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73140","description":"x-ray exam of finger(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.68,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[933392598]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76705","description":"echo exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.43,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[470526763]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76775","description":"us exam abdo back wall lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470785575]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77002","description":"needle localization by xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[470526763]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93227","description":"ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.97,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470785575]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93284","description":"prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":220.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":238.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93306","description":"tte w/doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93923","description":"upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.80,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376604]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470687317]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93971","description":"extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.81,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376615]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.18,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470527459]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93976","description":"vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.24,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[470526763]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95811","description":"polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1586.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[470376615]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[470765154]}]}]}