{"reporting_entity_name":"Key Benefit Administrators, Inc.","reporting_entity_type":"Third-Party Administrator","last_updated_on":"2026-05-01","version":"2.0.0","provider_references":[{"provider_group_id":300706634,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"300706634","business_name":"ENDO SEDATION LLC                  "},"npi":[1053839761,1821280124]}]},{"provider_group_id":742554159,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742554159","business_name":"CLINICAL PATHOLOGY LABS INC        "},"npi":[1194769497]}]},{"provider_group_id":843731229,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"843731229","business_name":"LABTECH DIAGNOSTICS LLC            "},"npi":[1336758952]}]},{"provider_group_id":203059260,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"203059260","business_name":"BHS PHYSICIANS NETWORK INC         "},"npi":[1639350036,1205374162,1417945726,1902998347]}]},{"provider_group_id":742146518,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742146518","business_name":"DIABETES AND GLANDULAR DISEASE CLIN"},"npi":[1487636205]}]},{"provider_group_id":840611484,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"840611484","business_name":"LABCORP HOUSTON                    "},"npi":[1881679751]}]},{"provider_group_id":382084239,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"382084239","business_name":"QUEST DIAGNOSTIC                   "},"npi":[1790721538]}]},{"provider_group_id":741586031,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"741586031","business_name":"UT HEALTH PHYSICIANS               "},"npi":[1316054315,1437266426,1144617911]}]},{"provider_group_id":752005254,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"752005254","business_name":"TDDC GCSA   MEDICAL CENTER         "},"npi":[1063858868]}]},{"provider_group_id":742109824,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742109824","business_name":"AUSTIN REGIONAL CLINIC             "},"npi":[1952317208]}]},{"provider_group_id":471956263,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"471956263","business_name":"FAST AID URGENT CARE-BULVERD       "},"npi":[1962802975]}]},{"provider_group_id":760611317,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"760611317","business_name":"GULFCOAST PATHOLOGY ASSOCIATES     "},"npi":[1699744144]}]},{"provider_group_id":746002164,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"746002164","business_name":"UNIVERSITY HEALTH SYSTEM           "},"npi":[1821011248]}]},{"provider_group_id":611699459,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"611699459","business_name":"GCSA AMBULATORY SURGICAL CENTER LLC"},"npi":[1275870537]}]},{"provider_group_id":742730328,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742730328","business_name":"MH WESTOVER HILLS                  "},"npi":[1124074273]}]},{"provider_group_id":742959210,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742959210","business_name":"GONZABA MEDICAL GROUP              "},"npi":[1770843625]}]},{"provider_group_id":742896068,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742896068","business_name":"S TEXAS RADIOLOGY IMG CTR          "},"npi":[1871797472,1457676306]}]},{"provider_group_id":742959346,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742959346","business_name":"PATHOLOGY REFERENCE LAB LLC        "},"npi":[1538157086]}]},{"provider_group_id":883667292,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"883667292","business_name":"NP HEALTHCARE LLC                  "},"npi":[1790498616]}]},{"provider_group_id":741787031,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"741787031","business_name":"EL CENTRO DEL BARRIO INC           "},"npi":[1215014071,1063526283]}]},{"provider_group_id":741724391,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"741724391","business_name":"COMMUNICARE HEALTH CENTERS         "},"npi":[1124607882]}]},{"provider_group_id":262400924,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"262400924","business_name":"METHODIST PHYSICIAN PRACTICES      "},"npi":[1295938439]}]},{"provider_group_id":473588569,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"473588569","business_name":"GENESIS REFERENCE LABORATORIES LLC "},"npi":[1982091617]}]},{"provider_group_id":262119001,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"262119001","business_name":"LINDA I ESQUIVEL MD PA             "},"npi":[1043342181]}]},{"provider_group_id":205409878,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"205409878","business_name":"ANGELA AKONYE M.D. P.A.            "},"npi":[1912942673]}]},{"provider_group_id":205395564,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"205395564","business_name":"KEISHA L LOFTIN M.D. P.A.          "},"npi":[1659327062]}]},{"provider_group_id":742932237,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"742932237","business_name":"COMMUNITY MEDICINE ASSOCIATES      "},"npi":[1578890604,1417453903]}]},{"provider_group_id":462456505,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"462456505","business_name":"PRIVIA MEDICAL GROUP GULF COAST PLL"},"npi":[1861598971]}]},{"provider_group_id":274592842,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"274592842","business_name":"MARK A RODRIGUEZ MD PA             "},"npi":[1982708111]}]},{"provider_group_id":611744250,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"611744250","business_name":"UNIFIED WOMENS HEALTHCARE OF TEXAS "},"npi":[1669891982]}]},{"provider_group_id":272713767,"network_name":["PCM                           "],"provider_groups":[{"tin":{"type":"ein","value":"272713767","business_name":"CARDIOLOGY CLINIC OF SAN ANTONIO   "},"npi":[1720296437]}]}],"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":241.56,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[300706634]}]},{"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":12.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":[843731229]}]},{"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":11.09,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.24,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"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":5.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,843731229]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80069","description":"renal function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":3.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"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":6.07,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":6.83,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","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":4.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","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":9.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,843731229]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC DISEASE MANAGEMEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"assay of thyroid (t3 or t4)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[843731229]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":8.16,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":138.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[752005254]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1224.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[611699459]}]},{"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":50.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"negotiation_arrangement":"ffs","name":"CORONAVIRUS TEST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87636","description":"sarscov2 & inf a&b amp prb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.76,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742109824]}]},{"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":36.93,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[471956263]}]},{"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":10.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,760611317,843731229]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"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":5.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,843731229]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.29,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"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":10.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,760611317,843731229]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"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":19.98,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"culture othr specimn aerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","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":33.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87430","description":"strep a ag ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"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":49.13,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","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":199.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL LABS","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":28.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":138.48,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[752005254]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1224.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[611699459]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76376","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":645.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[742730328]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL 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":3056.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[742730328]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[272713767]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[741586031]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93356","description":"myocrd strain img spckl trck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":426.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[742730328]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[272713767]}]},{"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":7.22,"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":"82306","description":"vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.08,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]}]},{"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":15.83,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"assay of estrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"negotiation_arrangement":"ffs","name":"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":14.31,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"negotiation_arrangement":"ffs","name":"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":15.44,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":1.38,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.44,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742959210]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82985","description":"assay of glycated protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.27,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"immunoassay nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"immunoassay quant nos nonab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.65,"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":"83550","description":"iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":7.04,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":47.47,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]}]},{"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":4.58,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.28,"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":"84481","description":"free assay (ft-3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,843731229]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84681","description":"assay of c-peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.93,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]}]},{"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":15.68,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"complement antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":17.36,"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":"86376","description":"microsomal antibody each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.28,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[843731229]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"thyroglobulin antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[843731229]}]},{"negotiation_arrangement":"ffs","name":"LABS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87633","description":"resp virus 12-25 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":437.62,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":14.77,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[471956263]}]},{"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":14.75,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[471956263]}]},{"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":56.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742896068]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.11,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742896068]}]},{"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":167.42,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742896068]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":167.87,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742896068]}]},{"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":28.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":27.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742959346,760611317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.34,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.51,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":6.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":3.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260,883667292]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"negotiation_arrangement":"ffs","name":"PPACA DEVELOPMENTAL SCRN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96110","description":"developmental screen w/score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741787031]}]},{"negotiation_arrangement":"ffs","name":"PPACA HEPATITIS C","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":19.98,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]}]},{"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":49.13,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.40,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"negotiation_arrangement":"ffs","name":"PPACA HPV","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"HPV SEP HI-RSK TYP&POOL RSLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"negotiation_arrangement":"ffs","name":"PPACA HYPOTHYROIDISM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"assay of total thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]}]},{"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":17.64,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]}]},{"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":[741724391,742959210]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.30,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741787031]}]},{"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":56.92,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262400924]}]},{"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":26.89,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741787031]}]},{"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":20.53,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741724391]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742959210]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.35,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262400924]}]},{"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":55.18,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":4.94,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":33.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[746002164]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741586031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":36.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[473588569,760611317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":36.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[473588569,760611317]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.69,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]}]},{"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":187.85,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.96,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262400924]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":111.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.79,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262119001]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.23,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742959210]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","description":"init pm e/m new pat 1-4 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741787031]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","description":"prev visit new age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":132.25,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[883667292]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.57,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[205409878]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.59,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[205395564,741724391,742932237]}]},{"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":138.34,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[741787031]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.71,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[462456505]}]},{"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":105.37,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.89,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262119001,274592842,742932237]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.56,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[611744250]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","description":"per pm reeval est pat 65+ yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":392.80,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"negotiation_arrangement":"ffs","name":"PREV PHYS OFFICE VISITS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99459","description":"pelvic examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.00,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[262119001]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.98,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[611744250]}]},{"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":5.96,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742146518]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[840611484]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.10,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742554159]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[382084239]}]},{"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":38.78,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[742896068]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93242","description":"ext ecg>48hr<7d recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.20,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[203059260]}]},{"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":3056.25,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[742730328]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[272713767]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.84,"expiration_date":"9999-12-31","billing_class":"professional","setting":"inpatient","service_code":["11"]}],"provider_references":[741586031]}]},{"negotiation_arrangement":"ffs","name":"XRAYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93356","description":"myocrd strain img spckl trck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":426.00,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[742730328]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.15,"expiration_date":"9999-12-31","billing_class":"professional","setting":"outpatient","service_code":["11"]}],"provider_references":[272713767]}]}]}